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1、瑞芬太尼与舒芬太尼在腹腔镜下胆囊切除术中的麻醉效果观察艾志群四川省内江市东兴区人民医院四川内江641100【摘要】A的将舒芬太尼和瑞芬太尼应用于腹腔镜胆囊切除术的麻醉屮，对比观察两种药物的麻醉效果.方法随机选取我院收治入院的行腹腔镜胆囊切除术的120例患者作为研究对象，患者资料来源于2013年8月到2015年8月.将患者平分为三组，一组为舒芬太尼+维库溴铵+丙泊酚+七氟烷维持麻醉组,设置为A组;一组患者为瑞芬太尼+维库溴铵+丙泊酚+七氟烷维持麻醉组,设置为B组;一组为舒芬太尼联合瑞芬太尼+维库溴铵+丙泊酚+七氟烷维持麻醉组，设置为C组.对比三组患者在术后疼痛度评分、术后苏醒
2、时间、术屮生命体征以及术后&主呼吸恢复时间等方面的区别.结果C组麻醉效果明显优于A、B组,P<0.05,有统计学意义.结论应用舒芬太尼联合瑞芬太尼麻醉,患者术后疼痛度低,苏醒快，术屮生命体征平稳，开气腹后血压心率波动小，术后及早恢复自主呼吸，效果显著.【关键词】瑞芬太尼；舒芬太尼；腹腔镜胆囊切除术；麻醉效果RuifentanylandsufentanilanesthesiaeffectobservedinlaparoscopiccholecystectomyYiZhiQun(Thefourthpeople'shospitalofneijianginsichuanprovin
3、ce,sichuanneijiang641100)【Abstract】objective:tosufentanilandfentanylusedinanaesthesiaoflaparoscopiccholecystectomy,comparativeobservationanesthesiaeffectoftwodrugs.Methods:randomlyselectedfromourhospitaladmissionlinein120casesoflaparoscopiccholecystectomypatientsastheresearchobject,patient
4、datafromAuGgust2013toAugust2015.Dividepatientsintothreegroups,onegroupofsufentanil+vecuroniumbromide+propofolsevofluranemaintainanesthesiagroup,issettoAgroup;Agroupofpatients,fentanyl+dlibrarybromide,propofolandsevofluranemaintainanesthesiagroup,issettogroupB;Asetofsufentanilcombinedruifen
5、tanyl+dlibrarybromide,propofolandsevofluranemaintainanesthesiagroupJssettogroupC.ComparedthreegroupsofpatientsinthepostGoperativepainscore,wakeupoftimeafteroperation,intraoperativevitalsignsandpostoperativespontaneousbreathingrecoverytimedifference-Results:ingroupCanestheticeffectwasbetter
6、thangroupA/B?P<0.05,withstatisticalsignificance.Conclusion:theapplicationofsufentanilcombinedfentanylanestheGsia,patientswithlesspostoperativepain,wakeupfast,intraoperativevitalsignsstable,openafterpneumoperitoneumbloodpressureheartratefluctuationssmall[,Kreeystwoorredtsh]espontaneousbreat
7、hing,earlypostoperativeeffectisremarkable.Fentanyl.Sufentanil;Laparoscopiccholecystectomy.Anesthesiaeffect【中图分类号】R415【文献标识码】B【文章编号】1001—5302(2015)09—0625—02临床上常将舒芬太尼和瑞芬太尼两种药物应用于腹腔镜胆囊切除术麻醉中，两种药物的临床麻醉效果冇所不同[1,2].为了对比在腹腔镜胆囊切除术中两种麻醉药物的临床麻醉效果,现从我院随机选取腹腔镜胆囊切除术患者120例
