异丙酚复合瑞芬太尼靶控静脉麻醉在胆囊腹腔镜手术中的应用

目的 比较异丙酚复合瑞芬太尼靶控静脉麻醉与静脉复合麻醉的临床效果.方法 选择行胆囊腹腔镜手术的1 12例患者,依据麻醉方式分为静脉复合麻醉组和靶控静脉麻醉组各56例.观察两组麻醉恢复时间,比较两组不良反应.结果 靶控麻醉组患者睁眼时间、恢复定向力、恢复自主呼吸、拔管时间、离开恢复室时间均明显低于静脉复合麻醉组（P＜0.05）;两组不良反应比较,差异无统计学意义（P＞0.05）.结论 异丙酚复合瑞芬太尼靶控静脉麻醉,麻醉恢复快,不良反应少,比静脉复合麻醉更适于临床应用.

The Clinical Application of Target Controlled Intravenous Anesthesia for Propofol Combined with Remifentanil in Operation of Laparoscopic Cholecystectomy

Objective To study the clinical effect of target controlled intravenous anesthesia for propofol combined with remifentanil and intravenous anesthesia.Metheds 112 patients with gall- bladder laparoscopic operation were selected as the research object,which were treated by propofol and remifentanil for anesthesia, were divided into intravenous anesthesia group and target controlled intravenous anesthesia group with 56 cases in each group according to the mode of anesthesia.The recovery time of anesthesia of the two groups was observed and adverse reactions were compared.Results The time for opening eyes,directional force recovery, recovery of spontaneous respiration, extubation time and time to leave the recovery room in the target controlled intravenous anesthesia group were significantly lower than those in the intravenous anesthesia group （P〈0.05）.The adverse reactions in the two groups had no statistical significance （P〉0. 05）.Conclusion For the target controlled intravenous anesthesia for propofol combined with remifentanil or remifentanil, the anesthesia recovery has been fast and it has had less adverse reactions and been better for clinical application than intravenous anesthesia.