七氟烷复合瑞芬太尼在腹腔镜胆囊切除术中的麻醉效果-论文.pdf

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1、·麻醉与镇痛·中国当代医药2014年8月第2l卷第24期七氟烷复合瑞芬太尼在腹腔镜胆囊切除术中的麻醉效果王玲解放军第一七一医院麻醉科，江西九江332000【摘要】目的探讨七氟烷复合瑞芬太尼在腹腔镜胆囊切除术麻醉中的应用效果。方法抽取本院进行腹腔镜胆囊切除术麻醉的68例患者作为研究对象，经患者同意后，随机分为研究组与对照组，每组各34例，对照组给予丙泊酚联合瑞芬太尼麻醉，研究组给予七氟烷复合瑞芬太尼进行麻醉，比较两组患者的麻醉效果。结果对照组患者总显效22例，占64．71％；研究组总显效33例，占97．06％；两组麻醉过程顺利，麻醉诱导效果好，研究组患者的苏

2、醒和拔管时间比对照组短，研究组患者的拔管后即刻Steward苏醒评分比对照组高。结论在腹腔镜胆囊切除手术中使用七氟烷复合瑞芬太尼麻醉，效果较为可靠。同时具备镇痛速度快、苏醒速度较快的特点，麻醉效果明显优于丙泊酚联合瑞芬太尼，值得推广。【关键词】腹腔镜；胆囊；七氟烷；瑞芬太尼【中图分类号】R614【文献标识码】A【文章编号】1674—4721(2014)08(c)一0140—03Anestheticeffectofsevofluranecombiningwithremifentanilinlaparo-scopiccholecystectomyWANGLin

3、gDepartmentofAnesthesia，the171ofPeopleSLiberationArmyinJiujiangCityofJiangxiProvince，Jiujiang332000，China[Abstract]ObjectiveToexploretheapplicationeffectofsevofluranecombiningwithremifentanilasanesthesiainla—paroscopiccholecystectomy．MethodsSixty—eightanestheticpatientsforlaparosc

4、opiccholecystectomyinourhospitalwereselectedasresearchobjects．Afterpatientsagreements，theywereevenlydividedintoresearchgroupandcontrolgroupinrandom．Inthecontrolgroup，propofolcombiningwithremifentanilasanestheticwasprovided，whileinthere-searchgroup，sevofluranewithremifentanilwassel

5、ectedasanesthetic．Theanestheticeffectinthetwogroupswascom—paredandanalyzed．ResultsThecontrolgroupwere22casesinexcellenteffectaccountingfor64．71％．Intheresearchgroup，33casesinexcellenteffect，andtook97．06％．Theanestheticprocesswentsuccessfullyandinductiveeffectofanesthesiawassatisfact

6、oryinbothgroups．Thetimeofrevivalandtubedrawingintheresearchgroupwereshorterincomparisonwiththoseinthecontrolgroup．TheinstantStewardrevivalscoreafterextubationintheresearchgroupwashigherthanthatinthecontrolgroup．ConclusionInlaparoscopiccholecystectomy，anestheticeffectofsevofluraneC

7、OB—biningwithremifentanilisreliableandhasthecharacteristicsofbeingfastinanalgesiaandreviva1．Itsanestheticeffectisremarkablysuperiortothatbypropofolwithremifentanil，whichisworthyofexpansion．【Keywords】Laparoscope；Cholecyst；Sevoflurane；Remifentanil随着我国科学技术的发展，在腹腔胆囊疾病切除醉诱导，比较两组患者的苏醒时间

8、、拔管时间以及治手术治疗中其治疗技术获得明显提高。由于该手术的疗效