七氟烷复合瑞芬太尼在腹腔镜胆囊切除术中的麻醉效果观察

Observation On Anesthesia Effect Of Sevoflurane Combined With Remifentanil In Laparoscopic Cholecystectomy

目的探讨七氟烷复合瑞芬太尼在腹腔镜胆囊切除术麻醉中的作用价值。方法随机选取我院接受腹腔镜胆囊切除手术的220例患者为观察对象,分为观察组110例(七氟烷复合瑞芬太尼麻醉)和对照组110例(丙泊酚复合瑞芬太尼麻醉),对比两组患者麻醉效果、苏醒情况以及麻醉相关不良反应情况。结果两组术后不良反应差异无统计学意义(P>0.05);观察组麻醉优良率(95.45%)高于对照组,Steward评分(4.2±0.8)分、苏醒时间(6.7±1.8)min低于对照组,经统计学分析,存在显著差异(P<0.05)。结论腹腔镜胆囊切除手术应用七氟烷复合瑞芬太尼麻醉具有效果好、苏醒质量高等优点,值得推广。

Objective To discuss the effect and value of sevoflurane combined with remifentanil in laparo- scopic cholecystectomy. Methods 220 patients with laparoscopic cholecystectomy were randomly selected in our hospital as the objects. They were divided into observation group （sevoflurane and remifentanil anesthesia, n = 110） and control group （propofol and remifentanil anesthesia, n = 110）, the anesthesia effect, recovery and anesthesia related adverse reactions were compared between two groups. Results There was no significant dif- ference in adverse reactions between the two groups（P 〉0.05） ;the quality of the observation group was better than the control group, Steward score and recovery time in observation group were lower than the control group, after statistical analysis, P 〈 0.05, there were significant differences. Conclusions The sevoflurane combined with remifentanil anesthesia in laparoscopic cholecystectomy has the advantages of good effect and high awaken- ing quality, it is worth promoting.