七氟醚与丙泊酚在麻醉/脑电意识深度监测系统监测下腹腔镜手术深麻醉苏醒期的效果比较

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Abstract Objective To investigate the effect of Sevoflurane and Propofol during the recovery period of deep anesthesia in laparoscopic surgery under Narcotrend monitoring.Methods The clinical data of 60 patients receiving general or gynecological laparoscopic surgery under Narcotrend monitoring in Liaobu Hospital of Dongguan City,Guangdong Province from January to August,2020 were retrospectively analyzed.The patients were divided into Sevoflurane group(28 cases)and Propofol group(32 cases)according to the different drugs used in deep anesthesia.Sevoflurane group was given Sevoflurane and Remifentanil to maintain anesthesia,while Propofol group was given Propofol and Remifentanil to maintain anesthesia.Hemodynamic indexes,functional recovery time,visual analogue scale(VAS)score,maximum Ricker calming agitation score and 24 h recovery quality(QOR-40)score were compared between the two groups.Results There were no statistically significant differences in the heart rate(HR)and mean arterial pressure(MAP)between the two groups before operation and during the recovery period(P＞0.05).The recovery time of spontaneous respiration,breathing and eye-opening time,extubation time,and recovery time of orientation in the Propofol group were shorter than those in the Sevoflurane group,and the differences were statistically significant(P＜0.05).VAS score and maximum Ricker sedative agitation score in the Propofol group were lower than those in the Sevoflurane group,and QOR-40 score was higher than that in the Sevoflurane group,and the differences were statistically significant(P＜0.05).Conclusion Under Narcotrend monitoring,the effect of Propofol and Sevoflurane in laparoscopic deep anesthesia is relatively stable.The recovery time in the recovery period of deep anesthesia with Propofol is shorter,the recovery quality is higher,the patients′restlessness is less,the pain level is lower,and it is more conducive to the functional recovery of patients after awakening.

Key words： Narcotrend Sevoflurane Propofol Recoveryperiod of deep anesthesia

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	ZENG Liang-liang
	ZHONG Bao-qiong
	WANG Ri-lian

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ZENG Liang-liang,ZHONG Bao-qiong,WANG Ri-lian. Effect comparison of Sevoflurane and Propofol during recovery period of deep anesthesia in laparoscopic surgery under Narcotrend monitoring[J]. 中国当代医药, 2021, 28(15): 63-66.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I15/63

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