摘要
目的观察在腹腔镜胆囊切除术老年患者中实行BIS监测下丙泊酚复合瑞芬太尼靶控输注的临床效果。方法随机将2016年1月至2018年4月昌吉市人民医院60例腹腔镜胆囊切除术老年患者分为两组,每组30例,观察组给予靶控输注,对照组给予一般输注,对比两组患者丙泊酚用量、术后意识恢复时间、拔管时间、血流动力学指标及不良反应发生率。结果观察组患者T2、T3时的收缩压、舒张压、心率均与对照组组存在明显差异,P<0.05,其他时刻收缩压、舒张压、心率无显著差异,P>0.05;观察组患者丙泊酚用量、术后意识恢复时间、拔管时间均少于对照组,P<0.05;观察组患者的不良反应发生率低于对照组,P<0.05。结论对腹腔镜胆囊切除术老年患者实施BIS监测、丙泊酚复合瑞芬太尼靶控输注具有更优的效果,更有助于维持血流动力学稳定,安全性更高。
Objective To investigate the effect of BIS monitoring,propofol combined with remifentanil on hemodynamics in elderly patients undergoing laparoscopic cholecystectomy.Methods 60 elderly patients with laparoscopic cholecystectomy in Changji People’s Hospital from January 2016 to April 2018 were randomly divided into two groups,30 cases in each group.The observation group was given target controlled infusion and the control group was given general infusion.The dosage of propofol,postoperative consciousness recovery time,extubation time,hemodynamic indexes and incidence of adverse reactions were compared between the two groups.Results The systolic blood pressure and diastolic blood pressure of T2 and T3 patients in the observation group.There were significant differences in pressure,heart rate and control group,P<0.05,there was no significant difference in systolic blood pressure,diastolic blood pressure and heart rate at other times,P>0.05;the dosage of propofol,the time of recovery of postoperative consciousness and the time of extubation in the observation group were lower than that of the control group,P<0.05.Conclusion BIS monitoring and target controlled infusion of propofol combined with remifentanil for elderly patients undergoing laparoscopic cholecystectomy has better effect,which is more helpful to maintain hemodynamic stability and higher safety.
作者
倪晓虎
岳珍
NI Xiaohu;YUE Zhen(Changji People's Hospital,Changji,Xinjiang 831100,China)
出处
《新疆医学》
2020年第7期675-677,共3页
Xinjiang Medical Journal
基金
昌吉市科学研究与技术开发计划项目(项目编号:20171206)
作者简介
倪晓虎,男,副主任医师,研究方向:产科麻醉,骨科麻醉,超生可视化。
