低流量七氟醚复合瑞芬太尼用于腹腔镜手术麻醉的疗效及临床分析

发布时间：2018-02-28 14:07

本文关键词： 七氟醚雷米芬太尼腹腔镜手术血流动力学不良反应　出处：《中国医学创新》2016年06期 　论文类型：期刊论文

【摘要】：目的:探究并分析低流量七氟醚复合瑞芬太尼用于腹腔镜手术麻醉的临床疗效。方法:选取本院2014年5月-2015年7月收治的100例行腹腔镜手术治疗的患者作为研究对象,在患者签署知情同意书并获得本院伦理委员会批准后由临床医务人员采取等距随机抽样法分为对照组和研究组,每组各50例。对照组采取雷米芬太尼麻醉维持,研究组采取低流量七氟醚复合瑞芬太尼麻醉维持,比较两组患者麻醉效果。结果:研究组患者通过实施低流量七氟醚复合瑞芬太尼麻醉维持,腹腔镜手术过程中血流动力学指标与对照组相比较,差异均有统计学意义(P0.05)。研究组的拔管时间、苏醒时间、清醒时间均明显短于对照组,且不良反应发生率8.0%明显低于对照组的24.0%,差异均有统计学意义(P0.05)。结论:在腹腔镜手术中,低流量七氟醚复合瑞芬太尼麻醉维持效果更佳,不良反应更少,具有较高的应用安全性,值得在今后腹腔镜手术工作中积极推广使用。
[Abstract]:Objective: to investigate and analyze the clinical efficacy of low-flow sevoflurane combined with remifentanil in laparoscopic anesthesia. After the informed consent was signed and approved by the ethics committee of our hospital, the patients were randomly divided into control group (n = 50) and study group (n = 50). The control group was maintained by remifentanil anesthesia. Low flow sevoflurane combined with remifentanil was used to maintain low flow sevoflurane and remifentanil in the study group. Results: the patients in the study group were maintained by low flow sevoflurane combined remifentanil anesthesia. Compared with the control group, the hemodynamic indexes of the study group were significantly different from those of the control group (P 0.05). The extubation time, recovery time and waking time of the study group were significantly shorter than those of the control group. The incidence of adverse reactions in 8.0% was significantly lower than that in the control group (P 0.05). Conclusion: in laparoscopic surgery, the maintenance effect of low flow sevoflurane combined with remifentanil is better and the adverse reaction is less. It is worthy of being popularized in laparoscopic surgery in the future.
【作者单位】：广东省东莞市石排医院;
【分类号】：R614

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