丙泊酚复合瑞芬太尼麻醉维持对腹部手术患者的临床疗效分析

目的]探讨丙泊酚复合瑞芬太尼麻醉维持对腹部手术患者的临床疗效。方法]将某院2009年12月~2010年12月择期进行腹部手术的患者80例,随机分为观察组和对照组,每组40例,两组患者麻醉诱导相同,对照组吸入异氟醚,静脉注射芬太尼维持麻醉;观察组以注射泵输注丙泊酚和瑞芬太尼维持麻醉。比较两组患者围术期的心率(HR)、收缩压SBP、舒张压DBP、自主呼吸恢复时间、苏醒时间、定向力恢复时间及血糖、皮质醇的变化。结果]观察组插管前后血压、心率及无明显变化,P﹥0.05;对照组患者气管插管后血压升高、心率增快,P﹤0.05。对照组在插管后,血糖、皮质醇显著升高,P﹥0.05。观察组无显著性变化,P﹥0.05。结论]丙泊酚复合瑞芬太尼麻醉维持术中应激反应小,血液动力学稳定,是一种安全有效的麻醉方法。

EFFECT ANALYSIS OF PROPOFOL COMBINED WITH REMIFENTANIL ANESTHESIA IN PATIENTS WITH ABDOMINAL SURGERY

Objective]To explore the effect of propofol combined with remifentanil anesthesia in patients with abdominal surgery.Methods]Collected 80 cases conducted with abdominal surgery from December 2009 to December 2010 in our hospital,who were randomly divided into trial group and control group,each group was 40 cases.The anesthesia induction was same in the two groups.In the control group,inhaled isoflurane,intravenously injected fentanyl maintain anesthesia;in the observation group,given propofol combined wit...