不同麻醉药物对老年腹腔镜胆囊切除术患者麻醉深度及应激反应的分析

Analysis of Anesthesia Depth and Stress Response of Different Anaesthetic Drugs in Elderly Patients Undergoing Laparoscopic Cholecystectomy

目的分析不同麻醉药物对老年腹腔镜胆囊切除术患者的麻醉深度及应激反应。方法选取100例老年腹腔镜胆囊切除术患者为实验对象,随机分两组,各50例,对照组和观察组分别采用芬太尼和瑞芬太尼联合丙泊酚。结果观察组患者的痛觉消失时间(68.36±5.79)s、睫毛反射消失时间(48.72±3.53)s、睁眼时间(2.46±1.26)min、血氧饱和度(96.63±2.51)%、肾上腺素(124.86±14.85)pmol/L、血糖(5.14±0.56)mmol/L、HR(86.79±2.55)次/min,均优于对照组(P<0.05)。结论对腹腔镜胆囊切除术患者实施瑞芬太尼联合丙泊酚麻醉效果显著。

Objective To analyze the anesthesia depth and stress response of different anaesthetic drugs in elderly patients undergoing laparoscopie cholecystectomy. Methods 100 elderly patients undergoing laparoscopic cholecystectomy were randomly divided into two groups. The control group and the observation group were treated with fentanyl and remifentanil combined with propofol. Results The pain disappearance time was（68.36±5.79）s, eyelash reflex disappearance time was （48.72±3.53） s, open eyes time was （2.46±1.26） min, blood oxygen saturation was （96.63±2.51）%, adrenaline level was（124.86±14.85） pmol/L, and blood glucose level was （5.14±0.56） retool/L, HR was （86.79±2.55） / min, which were better than those of the control group （P 〈 0.05）. Conclusion The effect of remifentanil combined with propofol on laparoscopic cholecystectomy is significant.