异丙酚和瑞芬太尼靶控静脉麻醉的诱导和术后苏醒过程评价 |
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引用本文: | 张祥钰,董帅.异丙酚和瑞芬太尼靶控静脉麻醉的诱导和术后苏醒过程评价[J].中国现代医生,2014(2):90-92. |
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作者姓名: | 张祥钰 董帅 |
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作者单位: | [1]山东省章丘市人民医院麻醉科,山东章丘250200 [2]山东省章丘市人民医院神经内科,山东章丘250200 |
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摘 要: | 目的探讨异丙酚和瑞芬太尼靶控静脉麻醉的诱导和术后苏醒过程。方法将80例ASAⅠ~Ⅱ级择期行腹腔镜胆囊切除术患者随机分为对照组与观察组各40例。对照组行静吸复合麻醉,观察组行异丙酚瑞芬太尼靶控静脉麻醉。结果两组患者麻醉诱导时,DBP差异有统计学意义(P<0.05),SBP、MAP及HR相比,差异无统计学意义(P>0.05);两组诱导时各时点OAAS评分差异均有统计学意义(P<0.05);两组患者VRS评分相比,差异均有统计学意义(P<0.05);观察组定向能力恢复时间、离开术后恢复室时间均显著低于对照组(P<0.05)。结论异丙酚瑞芬太尼靶控静脉麻醉用于胆囊切除术效果显著,且苏醒过程较好,值得在临床推广并应用。
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关 键 词: | 异丙酚 瑞芬太尼 靶控静脉麻醉 术后苏醒 |
Propofol and remifentanil target-controlled intravenous anesthesia induction and postoperative recovery process evaluation |
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Authors: | ZHANG Xiangyu DONG Shuai |
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Institution: | 1.Department of Anesthesiology, Zhangqiu People's Hospital of Shandong Province, Zhangqiu 250200, China; 2.Department of Neurology, Zhangqiu People's Hospital of Shandong Province, Zhangqiu 250200, China) |
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Abstract: | Objective To investigate the effects of propofol and remifentanil target-controlled intravenous anesthesia induction and postoperative recovery process. Methods A total of 80 patients ASA Ⅰ~Ⅱ grade elective laparoscopic i cholecystectomy were divided into control group and observation group randomly according to balloting, 40 cases each. Control group underwent inhalation anesthesia, propofol remifentanil group underwent observation target-controlled intravenous anesthesia. Results Two groups of patients during induction of anesthesia, DBP difference was statistically significant (P 〈 0.05), the difference of SBP, MAP and HR was not statistically significant (P 〉 0.05); groups induction of the indicators were statistically significant differences (P 〈 0.05); The observation group OAAS score at different time J had statistically significant differenc compared with the control group (P 〈 0.05); Two groups of patients perioperative VRS score of comparison, the differences were statistically significant (P 〈 0.05); The observation group targeting capa- bilities recovery time , leave the recovery room time were significantly lower than the control group(P 〈 0.05). Conclusion Remifentanil target-controlled propofol intravenous anesthesia for cholecystectomy among patients, the effect is significant, and the awakening process is better, it is worth to be promoted and applied in clinic. |
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Keywords: | Propofol Remifentanil Target-controlled intravenous anesthesia Postoperative recover y |
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