低流量七氟醚用于腹腔镜手术麻醉的临床疗效

Clinical curative effect of low flow sevoflurane in treatment of laparoscopic operation anesthesia

目的探讨低流量七氟醚用于腹腔镜手术麻醉的临床疗效。方法选择2014年5月~2015年5月我院收治的110例腹腔镜手术病例作为研究对象,根据双盲法将其平均分为研究组与对照组,各55例。对照组采取雷米芬太尼麻醉维持,研究组应用低流量七氟醚麻醉维持。结果对照组气腹前、气腹10min及麻醉苏醒时收缩压、舒张压及心率均低于研究组,差异有统计学意义（P〈0.05）。研究组患者的拔管时间（5.8±2.2）min、清醒时间（8.2±3.2）min均低于对照组的拔管时间（10.4±4.5）min、清醒时间（14.8±2.4）min,差异有统计学意义（P〈0.05）。结论低流量七氟醚在腹腔镜手术麻醉中具有显著的应用效果,可以有效缩短拔管时间、清醒时间,保证血流动力学稳定性,适于临床应用。

Objective To explore the clinical curative effect of low flow sevoflurane in treatment of laparoscopic operation anesthesia. Methods 110 cases of patients with laparoscopic operation were selected as the research objects, which were cured in our hospital from May 2014 to May 2015. According to the double blind method, they were divided into research group and control group with 55 cases in each. Patients in control group were treated with remifentanil anesthesia, and patients in research group were treated with low flow sevoflurane anesthesia. Results Pneumoperitoneum, 10 minutes after pneumoperitoneum and systolic pressure, diastolic blood pressure and heart rate during recovery from anesthesia of control group were all lower than those of research group. The differences were statistically significant（P〈0.05）.Extubation time, waking time of research group were（5.8±2.2） min and（8.2±3.2） min, which were all lower than those of control group with extubation time（10.4±4.5）min and waking time（14.8±2.4）min.The differences were statistically significant（P〈0.05）. Conclusion Low flow sevoflurane has remarkable application effect in treatment of laparoscopic operation anesthesia.It can effectively shorten the extubation time, waking time, and ensure hemodynamic stability.It is suitable for clinical application.