丙泊酚靶控输注与七氟醚吸入麻醉对梗阻性黄疸患者苏醒时间和术后恶心呕吐(PONV)的影响对比分析

Comparative Analysis of Effect of Target Controlled Infusion and Sevoflurane Inhaled Anesthesia on the Awaking Time and Postoperative Nausea and Vomiting in Patients with Jaundice Obstructive

目的关于丙泊酚靶控输注与七氟醚吸入麻醉对梗阻性黄疸患者苏醒时间和术后恶心呕吐(PONV)的影响对比分析。方法该研究整群选取该院2013年9月—2015年9月期间收治的110例梗阻性黄疸患者作为研究对象,每组55例。对照组梗阻性黄疸患者采用七氟醚进行麻醉;观察组梗阻性黄疸患者采用丙泊酚进行麻醉。观察指标为患者经过麻醉后的苏醒时间和术后恶心呕吐情况。结果观察组患者苏醒时间(7.54±1.85)min、术后恶心呕吐发生率10.91%优于对照组,差异有统计学意义(P<0.05)。结论对于梗阻性黄疸患者运用七氟醚和丙泊酚2种麻醉药物,其苏醒时间和术后恶心呕吐症状明显有差异,且丙泊酚的麻醉效果明显优于七氟醚。

Objective To compare and analyze the effect of target controlled infusion and sevoflurane inhaled anesthesia on the awaking time and postoperative nausea and vomiting in patients with jaundice obstructive. Methods 110 cases of pa- tients with jaundice obstructive admitted and treated in our hospital from September 2013 to September 2015 were selected as the research object and divided into two groups with 55 cases in each, the control group used sevoflurane for anaesthesia, the observation group used propofol for anaesthesia, and the awakening time and postoperative nausea and vomiting after anaesthesia were the observation indexes. Results The awakening time and incidence rate of postoperative nausea and vom- iting were respectively （7.54±1.85） min and 10.91% in the observation group, which were better than those in the control group, and the differences had statistical significance. Conclusion For patients with jaundice obstructive anaesthetized by sevoflurane and propofol, there are obvious differences in the awakening time and postoperative nausea and vomiting, and the anaesthesia effect of propofol is obviously better than that of sevoflurane.