首页|七氟醚吸入麻醉对腹腔镜胆囊切除术的影响

七氟醚吸入麻醉对腹腔镜胆囊切除术的影响

扫码查看
目的 分析腹腔镜胆囊切除术患者选择七氟醚吸入麻醉的效果。方法 选取鹤壁市人民医院 2021 年 6 月至2023 年 6 月行腹腔镜胆囊切除术的 76 例患者展开研究,选择区间随机法分为对照组、研究组,每组均为 38 例。对照组麻醉诱导后予以丙泊酚维持麻醉,研究组麻醉诱导后予以七氟醚吸入维持麻醉。对比两组围术期血压(收缩压、舒张压)、疼痛评分、苏醒相关指标。结果 两组麻醉前血压测值比较差异无统计学意义(P>0。05),研究组诱导时、插管时、拔管时舒张压、收缩压均低于对照组,差异有统计学意义(P<0。05);研究组术后 2 h、术后 12 h、术后 24 h疼痛评分低于对照组,差异有统计学意义(P<0。05);研究组术后苏醒、拔管、自主呼吸恢复、定向力恢复时间短于对照组,差异有统计学意义(P<0。05);研究组不良反应发生率低于对照组,差异有统计学意义(P<0。05)。结论 七氟醚吸入麻醉对腹腔镜胆囊切除术患者血压影响较小,术后疼痛感较轻且术后苏醒质量较高,值得应用。
The Impact of Sevoflurane Inhalation Anesthesia on Laparoscopic Cholecystectomy
Objective To analyze the effect of sevoflurane inhalation anesthesia on patients undergoing laparoscopic cholecystectomy.Methods A total of 76 patients who underwent laparoscopic cholecystectomy at Hebi People's Hospital from June 2021 to June 2023 were selected for the study.They were divided into a control group and a study group using the interval random method,with 38 cases in each group.The control group received propofol maintenance anesthesia after induction,while the study group received sevoflurane inhalation maintenance anesthesia after induction.Perioperative blood pressure(systolic and diastolic),pain scores,and awakening-related indicators were compared between the two groups.Results There was no statistically significant difference in blood pressure measurements between the two groups before anesthesia(P>0.05).The diastolic and systolic blood pressure during induction,intubation,and extubation in the study group were lower than those in the control group,with statistically significant differences(P<0.05).The pain scores at 2 hours,12 hours,and 24 hours post-operation in the study group were lower than those in the control group,with statistically significant differences(P<0.05).The awakening time,extubation time,spontaneous breathing recovery time,and orientation recovery time in the study group were shorter than those in the control group,with statistically significant differences(P<0.05).The incidence of adverse reactions in the study group was lower than that in the control group,with statistically significant differences(P<0.05).Conclusion Sevoflurane inhalation anesthesia has a smaller impact on blood pressure in patients undergoing laparoscopic cholecystectomy,results in less postoperative pain,and provides higher quality of postoperative awakening.It is worthy of application.

sevoflurane inhalation anesthesialaparoscopic cholecystectomyblood pressurepain scoresawakening time

金黛丽、刘洪亮、姚宏苏

展开 >

鹤壁市人民医院 麻醉科,河南 鹤壁 458000

七氟醚吸入麻醉 腹腔镜胆囊切除术 血压 疼痛评分 苏醒时间

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(10)