七氟烷复合瑞芬太尼用于腹腔镜胆囊切除术麻醉的临床效果分析

摘要

Objective:To investigate applical methods and curative effects of sevoflurane composite red fentanyl used for laparoscopic cholecystectomy anesthesia.Method:60 patients who had elective laparoscopic cholecystectomy in our hospital were divided into sevoflurane group and control group two groups randomly(n=20 in each group).Sevoflurane group was applied sevoflurane to continuous suction during the whole course;control group was applied propofol to continuous pump into the vein during the whole course.The two groups all were applied red fentanyl to pump into the vein after anesthesia.The results of two groups were recorded before anesthesia,after anesthesia and postoperation,then the clinical treatment effect was analysed.Result:The anesthesia process of two groups was successful.The anesthetic effect was good and there was no obvious adverse reaction. The changes of Intraoperative and postoperative cardiovascular factors had no obvious difference(P>0.05).For revive time and tube drawing time, sevoflurane group was shorter than control group.For steward to score,sevoflurane group was higher than control group.Conclusion:The curative effects of sevoflurane composite red fentanyl used for laparoscopic cholecystectomy anesthesia is good.Intraoperative cardiovascular function is stable.Both revive time and tube drawing time are short.So sevoflurane composite red fentanyl used for laparoscopic cholecystectomy anesthesia is ideal combination.%　　目的：探讨七氟烷复合瑞芬太尼用于腹腔镜胆囊切除术麻醉的应用方法和效果评价。方法：选取笔者所在医院40例择期腹腔镜胆囊切除术的患者，随机分两组，每组20例，七氟烷组全程持续吸入七氟烷做麻醉诱导，对照组采用丙泊酚持续静脉泵入，两组在麻醉诱导后均采用瑞芬太尼静脉泵入，记录两组麻醉诱导前后和术后的各项指标以分析临床效果。结果：两组麻醉过程顺利，麻醉诱导效果好，无明显不良反应，术中各时间段及术后心血管各因素的变化无明显差异（P>0.05），七氟烷组的苏醒和拔管时间比对照组短，拔管后即刻的Steward苏醒评分七氟烷组比对照组高。结论：七氟烷复合瑞芬太尼用于腹腔镜胆囊切除术麻醉的效果良好，术中心血管功能平稳，麻醉起效时间及苏醒时间短，是腹腔镜胆囊切除术临床麻醉的理想组合。