摘要
摘要目的将舒芬太尼和瑞芬太尼应用于腹腔镜胆囊切除术的麻醉中,对比观察两种药物的麻醉效果.方法随机选取我院收治入院的行腹腔镜胆囊切除术的１２０例患者作为研究对象,患者资料来源于２０１３年８月到２０１５年８月.将患者平分为三组,一组为舒芬太尼＋维库溴铵＋丙泊酚＋七氟烷维持麻醉组,设置为A组;一组患者为瑞芬太尼＋维库溴铵＋丙泊酚＋七氟烷维持麻醉组,设置为B组;一组为舒芬太尼联合瑞芬太尼＋维库溴铵＋丙泊酚＋七氟烷维持麻醉组,设置为C组.对比三组患者在术后疼痛度评分、术后苏醒时间、术中生命体征以及术后自主呼吸恢复时间等方面的区别.结果C组麻醉效果明显优于A、B组,P＜０．０５,有统计学意义.结论应用舒芬太尼联合瑞芬太尼麻醉,患者术后疼痛度低,苏醒快,术中生命体征平稳,开气腹后血压心率波动小,术后及早恢复自主呼吸,效果显著.关键词瑞芬太尼;舒芬太尼;腹腔镜胆囊切除术;麻醉效果RuifentanylandsufentanilanesthesiaeffectobservedinlaparoscopiccholecystectomyYiZhiQun(Thefourthpeople＇shospitalofneijianginsichuanprovince,sichuanneijiang６４１１００)Abstractobjectivetosufentanilandfentanylusedinanaesthesiaoflaparoscopiccholecystectomy,comparativeobservationanesthesiaeffectoftwodrugs．Methodsrandomlyselectedfromourhospitaladmissionlinein１２０casesoflaparoscopiccholecystectomypatientsastheresearchobject,patientdatafromAuＧgust２０１３toAugust２０１５．Dividepatientsintothreegroups,onegroupofsufentanil＋vecuroniumbromide＋＋propofolsevofluranemaintainanesthesiagroup,issettoAgroup;Agroupofpatients,fentanyl＋dlibrarybromide,propofolandsevofluranemaintainanesthesiagroup,issettogroupB;Asetofsufentanilcombinedruifentanyl＋dlibrarybromide,propofolandsevofluranemaintainanesthesiagroup,issettogroupC．ComparedthreegroupsofpatientsinthepostＧoperativepainscore,wakeupoftimeafteroperation,intraoperativevitalsignsandpostoperativespontaneousbreathingrecoverytimedifference．ResultsingroupCanestheticeffectwasbetterthangroupA,B,P＜０．０５,withstatisticalsignificance．ConclusiontheapplicationofsufentanilcombinedfentanylanestheＧsia,patientswithlesspostoperativepain,wakeupfast,intraoperativevitalsignsstable,openafterpneumoperitoneumbloodpressureheartratefluctuationssmall,Kreeystwoorredtshespontaneousbreathing,earlypostoperativeeffectisremarkable．Fentanyl．Sufentanil;Laparoscopiccholecystectomy．Anesthesiaeffect中图分类号R４１５文献标识码B文章编号１００１－５３０２(２０１５)０９－０６２５－０２
出版日期
2015年09月19日（中国期刊网平台首次上网日期，不代表论文的发表时间）
