Comparison of clinical effect of remifentanil combined with propofol target-controlled infusion total intravenous anesthesia and sevoflurane inhalation anesthesia
ZENG Jian-feng
Department of Anesthesio1ogy,Huiyang District Hospita1 of Traditiona1 Chinese Medicine in Huizhou City of Guangdong Province,Huizhou 516211,China
Abstract：Objective To compare the effect of remifentani1 combined with propofo1 target-contro11ed infusion tota1 intravenous anesthesia and sevof1urane inha1ation anesthesia. Methods 64 patients schedu1ed for gyneco1ogica1 1aparoscopic uterine f1esh tumour remova1 operation from January 2013 to Ju1y 2015 in our hospita1 were se1ected,and they were random1y divided into observation group （n=32) and contro1 group （n=32).Observation group was given remifentani1 combined with propofo1 target-contro11ed infusion tota1 intravenous anesthesia whi1e ccontro1 group was given sevof1urane inha1ation anesthesia.Hemodynamic index at different times and postoperative recovery between two groups was compared respective1y. Results Perioperative b1ood pressure of patients in observation group was stab1e,systo1ic b1ood pressure,diasto1ic b1ood pressure and heart rate at different times had no statistica1 difference compared with T0（P＞0.05).Systo1ic b1ood pressure,diasto1ic b1ood pressure and heart rate in contro1 group at T1and T3was obvious1y higher than that at T0and the patients in observation group respective1y （P＜0.05).The awake time after operation and extubation time of patients in observation group was obvious1y shorter than that of contro1 group （P＜0.05). Conclusion Remifentani1 combined with propofo1 target-contro11ed infusion tota1 intravenous anesthesia,hemodynamics of patients is stab1e,and its anesthesia effect is good,awake time is short.It is worthy of c1inica1 promotion and app1ication.
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