瑞芬太尼联合丙泊酚在腹腔镜胆囊切除术中的应用效果

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (34 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the application effect of Remifentanil combined with Propofol in laparoscopic cholecystectomy.Methods A total of 100 patients undergoing laparoscopic cholecystectomy treated in our hospital from January 2018 to January 2019 were selected as the research subjects and randomly divided into the experimental group(n=50) and the control group (n=50) according to the double-blind method.The control group anesthetized with Fentanyl and Propofol,and the experimental group anesthetized with Remifentanil and Propofol.The hemodynamic index levels before and after anesthesia,anesthetic effects and adverse reactions were compared between the two groups.Results There were no significant differences in systolic blood pressure (SBP),mean arterial pressure (MAP),diastolic blood pressure (DBP),heart rate (HR),and blood oxygen saturation (SpO2) levels in the experimental group before and after anesthesia (P>0.05).The levels of SBP,DBP,HR and SpO2after anesthesia in the control group were lower than those of before anesthesia,and the levels of MAP was higher than that of before anesthesia,the differences were statistically significant (P＜0.05).The levels of SBP,DBP,HR,and SpO2in the experimental group after anesthesia were higher than those in the control group,and the levels of MAP was lower than that in the control group,the differences were statistically significant (P＜0.05).The tracheal tube removal time,awake time and spontaneous breathing time of the experimental group were shorter than those of the control group,the differences were statistically significant (P<0.05).The total incidence of adverse reactions in the experimental group (6.00%) was lower than that in the control group (20.00%),the difference was statistically significant (P<0.05).Conclusion Patients undergoing laparoscopic cholecystectomy receive Remifentanil and Propofol combined anesthesia,which can adjust the hemodynamic index level of the patient,shorten the tracheal catheter removal time,wake time and restore spontaneous breathing time,reduce the incidence of adverse reactions,which is worthy of clinical application.

Key words： Remifentanil Propofol Laparoscopic cholecystectomy Blood oxygen saturation Mean arterial pressure

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	SONG Qiang

Cite this article:

SONG Qiang. Application effect of Remifentanil combined with Propofol in laparoscopic cholecystectomy[J]. 中国当代医药, 2020, 27(2): 175-177转182.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I2/175

[5]	朱艳丽，武家平，王敏，等.舒芬太尼与瑞芬太尼复合丙泊酚全凭静脉麻醉在腹腔镜胆囊切除术中的应用效果对比[J].临床合理用药杂志，2016，9（3）：54-55.
[6]	蒋艳东，赵素敏.瑞芬太尼联合丙泊酚麻醉对腹腔镜胆囊切除术患者应激反应、血气指标的影响[J].海南医学院学报，2016，22（7）：677-679，682.
[1]	李雪，朱明.丙泊酚与瑞芬太尼静吸复合麻醉对老年腹腔镜下胆囊切除患者术后认知功能的影响[J].医学综述，2016，22（10）：1970-1973.
[2]	朱宏骞，靳宁，彭永明，等.瑞芬太尼联合丙泊酚复合麻醉对腹腔镜下胆囊切除患者血流动力学和认知功能的影响[J].临床医学工程，2016，23（5）：583-585.
[3]	张传朋.瑞芬太尼复合丙泊酚静脉麻醉在腹腔镜下胆囊切除中的麻醉效果及对认知功能的影响研究[J].中国实用医药，2017，12（20）：32-34.
[4]	夏绍明.瑞芬太尼与丙泊酚静吸复合麻醉对老年腹腔镜胆囊切除术后患者认知功能的影响[J].淮海医药，2016，34（5）：606-607.
[7]	李柳旬，徐波，吴宗泽，等.NI 指导下丙泊酚-瑞芬太尼程控性闭环靶控输注麻醉用于腹腔镜胆囊切除术的效果[J].中华麻醉学杂志，2016，36（12）：1423-1427.
[8]	徐镇杨.瑞芬太尼复合丙泊酚用于腹腔镜胆囊手术的麻醉效果体会[J].中国处方药，2017，15（4）：94-95.
[9]	郑晓玉.丙泊酚复合瑞芬太尼静脉全身麻醉在腹腔镜胆囊手术中的应用研究[J].系统医学，2017，2（7）：33-36.
[10]	潘体东.瑞芬太尼、丙泊酚用于腹腔镜胆囊切除术的麻醉效果[J].吉林医学，2018，39（10）：1926-1927.
[11]	石凌云，王信云.瑞芬太尼复合丙泊酚靶控输注联合术毕切口局部浸润在老年腹腔镜胆囊手术患者中的麻醉效果观察[J].现代实用医学，2016，28（10）：1299-1300.
[12]	唐健.瑞芬太尼复合丙泊酚用于腹腔镜胆囊切除术的麻醉分析[J].医药前沿，2018，8（32）：167.
[13]	金春姬，李林.瑞芬太尼复合不同浓度丙泊酚在腹腔镜胆囊切除术中的应用分析[J].实用药物与临床，2018，21（1）：40-42.
[14]	冯雅薇，罗慧，刘军，等.七氟醚或丙泊酚复合瑞芬太尼麻醉在腹腔镜胆囊切除术患者中的应用比较[J].中国继续医学教育，2017，9（22）：102-104.
[15]	侯庆伟，张亚莉.丙泊酚与瑞芬太尼静吸复合麻醉应用于老年腹腔镜下胆囊切除术中的效果分析[J].医学理论与实践，2019，32（8）：1195-1196.