摘要
目的探讨微泵输注异丙酚复合瑞芬太尼在腹腔镜全麻手术中的应用效果。方法随机选取2016年3月—2018年2月期间在该院接受腹腔镜全麻手术治疗的患者120例,依据其全麻醉方案的异同分成两组。全麻1组(n=60例)患者均采用吸入异氟醚复合静脉推注芬太尼的麻醉方案。全麻2组(n=60例)患者均采用瑞芬太尼持续微泵输注复合异丙酚的麻醉方案。观察两组患者在麻醉过程中各项生命体征的变化情况,以及监测患者停药后的自主呼吸恢复时间、呼之可睁眼看人时间、气管拔管时间、术后疼痛评分、止痛药物的使用情况以及不良症状的出现情况。结果全麻2组患者的自主呼吸恢复时间(8.34±3.12)min、呼之可睁眼看人时间(9.42±2.54)min、气管拔管时间(14.16±2.34)min、术后疼痛评分(3.05±0.25)分均较全麻1组的自主呼吸恢复时间(13.25±2.65)min、呼之可睁眼看人时间(15.13±2.24)min、气管拔管时间(20.23±2.07)min、术后疼痛评分(5.64±0.53)分的时间显著提前且疼痛轻,差异有统计学意义意义(P<0.05)。在止痛药物的使用情况以及不良症状的出现情况方面,全麻2组(8.33%,1.67%)明显较全麻1组的(35.00%,13.33%)少,差异有统计学意义(χ~2=8.727 3,32.820 9,P<0.05)。结论比较于静吸复合全麻手术,微泵输注异丙酚复合瑞芬太尼在腹腔镜全麻手术中的应用效果更加良好,患者各时段的生命体征更为稳定,术后苏醒迅速且疼痛轻、不良情况少,是一种安全且有效的临床麻醉方法。
Objective This paper tries to investigate the effect of propofol combined with remifentanil on laparoscopic general anesthesia. Methods 120 patients undergoing laparoscopic general anesthesia in the hospital from March 2016 to February 2018 were randomly selected and divided into two groups based on the similarities and differences of their total anesthesia programs. Patients in the general anesthesia group（n=60） received inhaled isoflurane combined intravenous fentanyl anesthesia protocol. Patients in the general anesthesia group 2（n=60） received continuous anesthesia with a remifentanil micropump infusion of propofol. Observe the changes of vital signs during the anesthesia of two groups of patients, as well as monitor the time of spontaneous resuscitation after stopping the patient, how long it can be seen, the time of tracheal extubation, postoperative pain scores, and the use of pain medications situation and appearance of adverse symptoms. Results In the general anesthesia group 2, spontaneous breathing recovery time（8.34±3.12） min, call time（9.42±2.54） min,tracheal extubation time（14.16±2.34） min, postoperative pain score（3.05±0.25）points, the scores of spontaneous breathing recovery time（13.25±2.65） min, call time（15.13 ±2.24） min, tracheal extubation time（20.23 ±2.07） min, and postoperative pain scores were（5.64±0.53）points. The time was significantly advanced and the pain was light, with statistical significance（P〈0.05）. In the use of analgesic drugs and the appearance of adverse symptoms, the general anesthesia group 2（8.33%,1.67%） was significantly less than the general anesthesia group（35.00%, 13.33%）, the difference was statistically significant（χ~2=8.727 3,32.820 9, P〈0.05）. Conclusion Compared with static inhalation combined general anesthesia, the effect of micropump infusion of propofol combined with remifentanil in laparoscopic anesthesia is more effective. The patient＇s vital signs are more stable at each time, and the postoperative recovery is rapid and pain is light, with few adverse events, it is a safe and effective method of clinical anesthesia.
作者
胡娟
HU Juan(Department of Anesthesiology,People’s Hospital of Wenquan County,Bortala Mongolia Autonomous Prefecture,Wenquan,Xinjiang,833500 Chin)
出处
《中外医疗》
2018年第18期5-7,共3页
China & Foreign Medical Treatment
作者简介
胡娟（1970-），女，重庆人，本科，副主任医师，研究方向：临床麻醉。
