探讨舒芬太尼与瑞芬太尼应用于全麻腹腔镜下胆囊切除手术麻醉中的效果

To Investigate the Effect of Sufentanil and Remifentanil in Anesthesia for Laparoscopic Cholecystectomy Under General Anesthesia

目的探讨舒芬太尼与瑞芬太尼应用于全麻腹腔镜下胆囊切除手术麻醉中的效果以及应用价值。方法本研究选取50例全麻腹腔镜下胆囊切除手术患者,采取随机数字表法均分为两组,采用舒芬太尼联合七氟烷等药物行麻醉诱导的25例患者作为观察组,采用瑞芬太尼联合七氟烷等药物行麻醉诱导的25例患者作为对照组。比较疼痛模拟评分、Ramsay镇静评分等。结果观察组患者疼痛模拟评分、自主呼吸恢复时间以及Ramsay镇静评分明显优于对照组,差异显著有统计学意义(P<0.05),对照组苏醒时间明显长于对照组,对比差异显著(P<0.05)。结论舒芬太尼与瑞芬太尼应用于全麻腹腔镜下胆囊切除手术麻醉中的效果较佳,值得临床推广。

Objective To investigate the efficacy and the value of sufentanil and remifentanil in the anesthesia of laparoscopic cholecystectomy under general anesthesia. Methods In this study, 50 patients undergoing laparoscopic cholecystectomy under general anesthesia were randomly divided into two groups. 25 patients were anesthetized by sufentanil combined with seven halothane as observation group. 25 patients were anesthetized by remifentanil combined with seven halothane as control group. Pain analogue scale and Ramsay sedation score were compared. Results In the observation group, pain simulation score, spontaneous breathing recovery time, and Ramsay sedation score were significantly better than those in the control group. The difference was statistically significant（P〈0.05）. The recovery time in the control group was significantly longer than that in the control group, and the difference was significant（P〈0.05）. Conclusion Sufentanil and remifentanil are effective for laparoscopic cholecystectomy under general anesthesia and are worthy of clinical promotion.