瑞芬太尼复合丙泊酚用于腹腔镜胆囊切除术的麻醉效果观察

目的 观察瑞芬太尼复合丙泊酚用于腹腔镜胆囊切除术的麻醉效果.方法 104例行腹腔镜胆囊切除术患者随机分为观察组（瑞芬太尼复合丙泊酚）和对照组（芬太尼复合丙泊酚）各52例.结果 观察组与对照组的SBP、DBP、HR的基础值,术毕分别比较,差异均无统计学意义（JP＞0.05）.建立气腹后,对照组的SBP、HR均较基础值明显升高,且分别明显高于观察组（P＜0.05）.但建立气腹后观察组的SBP、DBP、HR均较基础值及术毕比较,未见明显变化.观察组患者自主呼吸时间、拔管时间、睁眼时间均明显短于对照组（P＜0.05）.观察组患者拔管后10 min OAA/S评分明显高于对照组及拔管后5 min（P＜ 0.05）.结论 瑞芬太尼复合丙泊酚用于腹腔镜胆囊切除术麻醉效果确切,血流动力学稳定,患者术后恢复快,不良反应少,值得推广和应用.

The anesthetic effect of remifentanil combined with propofol for laparoscopic cholecystectomy

Objective To observe the anesthetic effect of remifentanil combined with propofol for laparoscopic chole- cystectomy. Methods One hundred and four cases patients were randomly divided into observation group （remifentanil and propofol） and the control group （fentanyl and propofol）, 52 cases in each group. Results The SBP, DBP, HR base- line value and postoperation value of the observation group and the control group were compared, there was no signifi- cant difference （P 〉 0.05）. After establishing pneumoperitoneum control group＇s SBP, HR were significantly increased compared with derlying values, and were significantly higher than the observation group （P 〈 0.05）. But after estab- lishing pneumoperitoneum SBP, DBP, HR of observation group compared with baseline value and postoperation value, there was no significant change. The patients spontaneous breathing time,extubation time, opening eyes were signifi- cantly shorter than the control group （P 〈 0.05）. The OAA/S score after extubation 10 min was significantly higher than the control group and after extubation 5 min （P 〈 0.05）. Conclusion Remifentanil and propofol anesthesia for la- paroscopic cholecystectomy exact effect, hemodynamic stability, rapid postoperative recovery, fewer adverse reactions, should be promoted and applied.