联合麻醉用于小切口胆囊切除52例临床思路构建

发布时间：2018-06-10 10:55

  本文选题：联合麻醉 + 丙泊酚　； 参考：《中国现代药物应用》2016年16期

【摘要】：目的观察联合麻醉在小切口胆囊切除术中的应用。方法 104例行小切口胆囊切除术患者,随机分为观察组与对照组,各52例。观察组患者术中维持麻醉采用微量泵注丙泊酚联合瑞芬太尼。对照组给予异氟醚。对比两组临床疗效。结果观察组患者清醒时间为(12.5±4.2)min、拔管时间为(7.9±2.5)min明显低于对照组(23.9±7.8)、(18.7±9.4)min;比较差异具有统计学意义(P0.05)。术中,观察组Ⅱ、Ⅲ级患者镇静评分明显高于对照组(P0.05),Ⅳ级患者明显低于对照组(P0.05),而手术结束时,观察组Ⅰ~Ⅱ级患者数量明显高于对照组(P0.05),Ⅲ级患者数量明显低于对照组(P0.05)。两组患者不良反应发生率比较差异无统计学意义(P0.05)。结论联合麻醉用于小切口胆囊切除术,镇痛效果、麻醉效果好,安全性好,可临床推广应用。
[Abstract]:Objective to observe the application of combined anesthesia in small incision cholecystectomy. Methods 104 patients with small incision cholecystectomy were randomly divided into observation group and control group, 52 cases in each group. The patients in the observation group underwent intraoperative maintenance anesthesia with micropump infusion of propofol and remifentanil. The control group was given isoflurane. The clinical effect was compared between the two groups. Results the waking time and extubation time in the observation group were 12.5 卤4.2 minutes and 7.9 卤2.5)min respectively, which were significantly lower than those in the control group (23.9 卤7.8 minutes, 18.7 卤9.4 min, P 0.05). During the operation, the sedation score of the patients in the observation group was significantly higher than that in the control group (P 0.05), and the number of the patients of grade 鈪，

本文编号：2002965