七氟醚复合瑞芬太尼在泌尿科微创手术中的麻醉体会

Anesthesia experience of sevoflurane combined with remifentanil in the urological minimally invasive surgery

目的:比较七氟醚复合瑞芬太尼全麻与神经阻滞麻醉在泌尿科微创手术中对患者术中、术后满意度和舒适度的影响。方法:收治微创手术患者100例,随机分为神经阻滞麻醉组、七氟醚复合全麻组。神经阻滞麻醉组给予腰硬联合麻醉,七氟醚复合全麻组给予七氟醚、瑞芬太尼全身麻醉,比较两组术中、术后满意度和舒适度。结果:两组术中HR、MAP变化比较,差异具有统计学意义(P<0.05)。两组术中不良反应发生率比较,差异有统计学意义(P<0.05)。两组术后认知功能、咽喉部不适、烦躁不安比较,差异无统计学意义(P>0.05)。结论:七氟醚复合瑞芬太尼全麻在泌尿科微创手术中安全可行,患者舒适度较好。

Objective:To compare the effect of sevoflurane combined with remifentanil for general anesthesia and nerve block anesthesia in urological minimally invasive surgery on the intraoperative and postoperative satisfaction and comfort in patients.Methods:100 cases of patients treated with minimally invasive surgery were divided into the nerve block anesthesia group and the sevoflurane general anesthesia group randomly.The nerve block anesthesia group was given combined spinal and epidural anesthesia.The sevoflurane general anesthesia group was given sevoflurane and remifentanil anesthesia.The intraoperative and postoperative satisfaction and comfort in the two groups were compared.Results:There were statistically significant differences of intraoperative changes of HR and MAP between groups (P<0.05).There was statistically significant differences of intraoperativeincidence of adverse reactions between groups (P<0.05).There was no significant difference of postoperative cognitive function,throat discomfort and irritability between groups (P>0.05).Conclusion:Sevoflurane combined with remifentanil general anesthesia in urological minimally invasive surgery was safe and feasible,and the patients had better comfort.