七氟醚联合瑞芬太尼喉罩用于腹腔镜胆囊切除术临床麻醉的效果观察

Observation on the effect of sevoflurane combined with remifentanil laryngeal mask on clinical anesthesia for laparoscopic cholecystectomy

目的:观察在腹腔镜胆囊切除术中应用七氟醚吸入联合瑞芬太尼喉罩麻醉的临床效果。方法:2017年7月-2019年7月收治实施腹腔镜胆囊切除术的患者240例,随机分为两组,各120例。对照组采用气管插管异氟醚复合芬太尼麻醉;观察组采用七氟醚吸入联合瑞芬太尼喉罩麻醉。比较两组患者术后恢复情况、血流动力学指标水平以及不良反应情况。结果:观察组术后恢复情况明显优于对照组,血流动力学指标水平较对照组更稳定,且不良反应发生率低于对照组,差异均有统计学意义(P<0.05)。结论:在腹腔镜胆囊切除术中应用七氟醚吸入联合瑞芬太尼喉罩麻醉效果更好,安全可靠。

Objective:To observe the clinical effect of sevoflurane inhalation anesthesia combined with remifentanil laryngeal mask anesthesia in laparoscopic cholecystectomy.Methods:From July 2017 to July 2019,240 patients who underwent laparoscopic cholecystectomy were enrolled,they were randomly divided into two groups with 120 cases in each group.The control group was anesthetized with isoflurane combined with fentanyl by tracheal intubation.The observation group was anesthetized with sevoflurane inhalation combined with remifentanil laryngeal mask.The postoperative recovery of patients,the hemodynamic indexes levels and adverse reactions were compared between the two groups.Results:The postoperative recovery of patients in the observation group was better than the control group,the levels of hemodynamic indexes was more stable than the control group,and the incidence of adverse reactions was lower than the control group,the differences were statistically significant(P<0.05).Conclusion:Sevoflurane inhalation anesthesia combined with remifentanil laryngeal mask anesthesia is more effective and safe in laparoscopic cholecystectomy.