首页|七氟烷或异丙酚复合瑞芬太尼麻醉对腹腔镜手术患者的影响

七氟烷或异丙酚复合瑞芬太尼麻醉对腹腔镜手术患者的影响

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目的 研究分析七氟烷或异丙酚复合瑞芬太尼麻醉对腹腔镜手术患者的影响.方法 选取台州市肿瘤医院2015年1月~2016年12月收治的100例进行腹腔镜手术患者作为本次研究过程中的研究对象,随机分为对照组和实验组2组,每组患者各为50例.对照组患者进行异丙酚复合瑞芬太尼麻醉,实验组患者进行七氟烷复合瑞芬太尼麻醉.比较分析实验组与对照组患者的麻醉效果.结果 经过对应的麻醉方式后,实验组患者拔管时间、苏醒时间显著优于对照组患者,差异具有统计学意义(P<0.05).实验组患者拔管15 min后Steward苏醒评分为(5.04±0.65)分,对照组患者苏醒评分为(4.12±0.54)分.可得,患者苏醒质量显著高于对照组患者,差异具有统计学意义(P<0.05).实验组患者在拔管2 h后的认知功能评分显著高于对照组,差异具有统计学意义(P<0.05).结论 与异丙酚复合瑞芬太尼麻醉相比,七氟烷复合瑞芬太尼麻醉效果较好,能够提高患者的苏醒质量,帮助患者恢复认知功能,具有临床进一步推广和应用的意义.
Effects of seven sevoflurane or propofol combined with remifentanil anesthesia on patients undergoing laparoscopic surgery
Objective To study the effect of seven sevoflurane or propofol combined with remifentanil anesthesia on patients undergoing laparoscopic surgery.Methods In Taizhou Tumor Hospital from January 2015 to December 2016 were 100 cases of patients with laparoscopic surgery as the research object in the course of the study, were randomly divided into control group and experimental group two were 50 cases each.Patients in the control group were treated with propofol and remifentanil anesthesia.The experimental group was given seven sevoflurane and remifentanil anesthesia.Comparative analysis of the experimental group and the control group of patients with anesthesia effect.Results After the corresponding anesthesia, patients in the experimental group extubation time, recovery time was significantly better than the control group, with statistical difference(P<0.05).In the experimental group, 15 minutes after extubation, the Steward recovery score was(5.04±0.65), while the control group score was(4.12±0.54).Can be obtained, the quality of patients' recovery was significantly higher than that of the control group, with statistical difference(P<0.05).The cognitive function scores of the experimental group were significantly higher than those of the control group after extubation(2 h), and the difference was statistically significant(P<0.05).Conclusion Compared with propofol remifentanil anesthesia, seven sevoflurane remifentanil anesthesia effect is good, can improve the patient's recovery quality, to help with the recovery of cognitive function, with further clinical promotion and application significance.

seven halothanepropofolremifentanil anesthesialaparoscopyanesthesia quality

杨海峰、瞿玉莲

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台州市肿瘤医院 麻醉科,浙江 台州 317502

七氟烷 异丙酚 瑞芬太尼麻醉 腹腔镜 麻醉质量

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.(7)
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