丙泊酚靶控输注复合瑞芬太尼对腹腔镜胃癌根治术患者麻醉效果的影响

Impact of Propofol Through Target-Controlled Infusion Combined with Remifentanil on the Anesthesia Effect in Patients with Laparoscopic Radical Gastrectomy

目的探讨丙泊酚靶控输注复合瑞芬太尼对腹腔镜胃癌根治术患者麻醉效果的影响。方法选取2016年1月至2018年7月我院收治的60例拟行腹腔镜胃癌根治术的患者作为研究对象,随机分成研究组(n=30)和对照组(n=30)。对照组采用静脉常规泵入丙泊酚复合瑞芬太尼进行麻醉,研究组采用丙泊酚靶控输注复合瑞芬太尼进行麻醉。比较两组的手术麻醉相关指标及临床麻醉效果。结果研究组的自主呼吸恢复时间、麻醉时间、睁眼时间以及拔管时间均显著短于对照组,差异均具有统计学意义(P<0.05)。研究组的麻醉总有效率为96.67%,显著高于对照组的80.00%,差异具有统计学意义(P<0.05)。结论对于腹腔镜胃癌根治术患者来说,丙泊酚靶控输注复合瑞芬太尼可加速患者的术后意识恢复,临床麻醉效果较为理想。

Objective To explore the impact of propofol through target-controlled infusion combined with remifentanil on the anesthesia effect in patients with laparoscopic radical gastrectomy.Methods 60 patients with selective laparoscopic radical gastrectomy in our hospital from January 2016 to July 2018 were selected as research objects, and randomly divided into two groups, with 30 cases in each group. The control group was anesthetized with propofol through conventional intravenous infusion combined with remifentanil, while the study group was anesthetized with propofol through target-controlled infusion combined with remifentanil. The surgery and anesthesia related indicators and clinical anesthesia effects of two groups were compared.Results The spontaneous breathing recovery time, anesthesia time, eye opening time and extubation time of study group were significantly shorter than those of control group(P<0.05). The total effective rate of anesthesia of study group was 96.67%, significantly higher than 80.00% of control group(P<0.05). Conclusions For patients with laparoscopic radical gastrectomy, propofol through target-controlled infusion combined with remifentanil can accelerate the postoperative consciousness recovery of patients, and has an ideal clinical anesthesia effect.