依托咪酯、瑞芬太尼复合麻醉在腹腔镜胆囊切除术中的应用效果
|
摘要
目的分析依托咪酯、瑞芬太尼复合麻醉在腹腔镜胆囊切除术(LC)中的应用效果。方法将我院行LC治疗的98例患者按病床单双号分为观察组(50例,依托咪酯、瑞芬太尼复合麻醉)及对照组(48例,丙泊酚、瑞芬太尼复合麻醉)。比较两组术后恢复情况、各时段应激反应及血流动力学指标水平。结果观察组离室、拔管、睁眼、定向力恢复用时及Ramsay评分均优于对照组(P<0.05)。气腹后及拔管时,观察组HR、MAP、E、NE水平均低于对照组(P<0.05)。结论 LC中使用依托咪酯、瑞芬太尼复合麻醉,术后患者恢复快、镇静效果好。
Objective To analyze the application effect of etomidate and remifentanil combined anesthesia in laparoscopic cholecystectomy(LC). Methods Ninety-eight patients treated with LC in our hospital were divided into observation group(50 cases, etomidate and remifentanil combined anesthesia) and control group(48 cases, propofol and remifentanil combined anesthesia) according to the number of sheets. The postoperative recovery, stress response and hemodynamic parameters at different time intervals were compared between the two groups. Results The time of out of chamber, extubation, eye opening, directional force recovery and Ramsay score of the observation group were better than those of the control group(P <0.05). The levels of HR, MAP, E and NE after pneumoperitoneum and extubation in the observation group were lower than those in the control group(P <0.05). Conclusion Using etomidate and remifentanil combined anesthesia in LC, the patients recovery quickly and has good sedative effect after operation.
Objective To analyze the application effect of etomidate and remifentanil combined anesthesia in laparoscopic cholecystectomy(LC). Methods Ninety-eight patients treated with LC in our hospital were divided into observation group(50 cases, etomidate and remifentanil combined anesthesia) and control group(48 cases, propofol and remifentanil combined anesthesia) according to the number of sheets. The postoperative recovery, stress response and hemodynamic parameters at different time intervals were compared between the two groups. Results The time of out of chamber, extubation, eye opening, directional force recovery and Ramsay score of the observation group were better than those of the control group(P <0.05). The levels of HR, MAP, E and NE after pneumoperitoneum and extubation in the observation group were lower than those in the control group(P <0.05). Conclusion Using etomidate and remifentanil combined anesthesia in LC, the patients recovery quickly and has good sedative effect after operation.
引文
[1]孙璐,邵忠新,王鹭蓉,等.依托咪酯靶控输注复合瑞芬太尼用于妇科腹腔镜手术病人麻醉的效果[J].中华麻醉学杂志,2013,33(4):462-465.
[2]刘龙娟.依托咪酯复合瑞芬太尼麻醉诱导对老年腹腔镜手术患者术后认知功能的影响[J].山东医药,2015,55(47):84-86.
[3]敖仁荣.瑞芬太尼复合丙泊酚与芬太尼复合丙泊酚用于短时腹腔镜手术麻醉效果比较[J].现代中西医结合杂志,2013,22(23):2600-2601.
[4]边步荣,薛荣亮,郭宇峰,等.依托咪酯和丙泊酚对老年患者腹腔镜胆囊切除术后认知功能障碍的影响[J].中国药房,2015,26(23):3244-3246.
[5]梁金兰.七氟醚或丙泊酚复合瑞芬太尼麻醉应用于腹腔镜胆囊切除术临床分析[J].中国医药科学,2016,6(13):145-148.
[6]梁燕.丙泊酚复合瑞芬太尼靶控输注对腹腔镜胆囊切除术老年患者血流动力学的影响[J].中国医学创新,2016,13(25):133-136.
[7]刘聚堂,王凯,李宁,等.丙泊酚瑞芬太尼静脉麻醉在腹腔镜胆囊切除术中的应用研究[J].中国医学创新,2013,10(26):42-44.
[2]刘龙娟.依托咪酯复合瑞芬太尼麻醉诱导对老年腹腔镜手术患者术后认知功能的影响[J].山东医药,2015,55(47):84-86.
[3]敖仁荣.瑞芬太尼复合丙泊酚与芬太尼复合丙泊酚用于短时腹腔镜手术麻醉效果比较[J].现代中西医结合杂志,2013,22(23):2600-2601.
[4]边步荣,薛荣亮,郭宇峰,等.依托咪酯和丙泊酚对老年患者腹腔镜胆囊切除术后认知功能障碍的影响[J].中国药房,2015,26(23):3244-3246.
[5]梁金兰.七氟醚或丙泊酚复合瑞芬太尼麻醉应用于腹腔镜胆囊切除术临床分析[J].中国医药科学,2016,6(13):145-148.
[6]梁燕.丙泊酚复合瑞芬太尼靶控输注对腹腔镜胆囊切除术老年患者血流动力学的影响[J].中国医学创新,2016,13(25):133-136.
[7]刘聚堂,王凯,李宁,等.丙泊酚瑞芬太尼静脉麻醉在腹腔镜胆囊切除术中的应用研究[J].中国医学创新,2013,10(26):42-44.