七氟烷复合瑞芬太尼麻醉对腹腔镜胆囊切除术患者的镇静效果观察

Observation of the Sedative Effect of Sevoflurane Combined With Remifentanil on Patients With Laparoscopic Cholecystectomy

目的探讨在腹腔镜胆囊切除术患者手术过程中应用七氟烷复合瑞芬太尼麻醉的镇静效果。方法将2014年3月—2017年4月我院收治的70例腹腔镜胆囊切除术患者纳入本次研究,依照麻醉药物的不同分成丙泊酚组(n=35)和七氟烷组(n=35),对两组腹腔镜胆囊切除术患者分别实施丙泊酚+瑞芬太尼联合与七氟烷+瑞芬太尼联合。结果丙泊酚组腹腔镜胆囊切除术患者的苏醒时间、苏醒评分及拔管时间与七氟烷组相比,差异有统计学意义(P<0.05)。结论相较于实施丙泊酚+瑞芬太尼麻醉,在腹腔镜胆囊切除术患者手术中应用七氟烷+瑞芬太尼麻醉的镇静效果更为显著。

Objective To investigate the sedative effect of sevoflurane combined with remifentanil during the operation of patients with laparoscopic cholecystectomy. Methods 70 cases of laparoscopic cholecystectomy from March 2014 to April 2017 in our hospital were selected, they were divided into the propofol group （n=35） and the sevoflurane group （n=35） according to the different narcotic drugs. Two groups of patients with laparoscopic cholecystectomy were combined with propofol plus remifentanil combined with seven halothane ＋ remifentanil respectively. Results There was a significant difference in recovery time, recovery score and extubation time between propofol group and seven halothane group （P 〈 0.05）. Conclusion Compared with the propofol and remifentanil anesthesia, the effect of sevofurane and remifentanil anesthesia in the operation of laparoscopic cholecystectomy is more signifcant than that of seven.