腹腔镜外科杂志2012，Vol.17Issue(7)：556-558,3.
雷米芬太尼与丙泊酚复合麻醉应用于腹腔镜胃肠穿孔修补术的临床研究
Clinical research of combined anesthesia with remifentanil and propofol for laparoscopic repair of gastrointestinal perforation
李传玉 1高艳华 1刘德民1
作者信息
- 1. 牡丹江医学院附属二院,黑龙江牡丹江,157011
- 折叠
摘要
Abstract
Objective;To investigate the application value of combined anesthesia with retnifentanil and propofol for laparoscop-ic repair of gastrointestinal perforation. Methods: Seventy-four patients with gastrointestinal perforation who underwent laparoscopic repair from Jan. 2010 to Jun. 2011 were randomly divided into the experimental group and control group. Patients in experimental group were given remifentanil and propofol combined anesthesia, and patients in control group were given fentanyl. Mean arterial pressure (MAP) and heart rate (HR) before and 0,and 5 min after intubation, 10 min after the beginning of surgery andO min after extubation, recovery time of respiration and consciousness,and the extubation time were comparatively analyzed. ResultS:The MAP and HR in the experimental group 0,and 5 min after intubation,and 10 min after the beginning of surgery were lower than those in the control group (P < 0.05). Recovery time of respiration and consciousness, and the extubation time in the experimental group was shorter than that in the control group (P<0.05). Conclusions:Combined anesthesia with remifentanil and propofol in laparoscopic repair of gastrointestinal perforation is better than fentanyl in blocking surgical stimulation and maintaining circulation stabilization, and it is worthy of clinical application.关键词
麻醉,全身/胃肠穿孔/穿孔修补术/雷米芬太尼/丙泊酚/腹腔镜检查Key words
Anesthesia, general/ Gastrointestinal perforation/ Perforation repair/ Remifentanil/ Propofol/ Laparoscopy分类
医药卫生引用本文复制引用
李传玉,高艳华,刘德民..雷米芬太尼与丙泊酚复合麻醉应用于腹腔镜胃肠穿孔修补术的临床研究[J].腹腔镜外科杂志,2012,17(7):556-558,3.
