中国社区医师Issue(33)：66-67,2.DOI:10.3969/j.issn.1007-614x.2014.33.40
瑞芬太尼与芬太尼在腹腔镜胆囊手术中应用的效果比较
Comparison of the application effect of remifentanil and fentanyl in laparoscopic cholecystectomy
摘要
Abstract
Objective:To compare the clinical effect of the application of remifentanil and fentanyl in laparoscopic cholecystectomy.Methods:52 patients with laparoscopic cholecystectomy were selected.They were randomly divided into the remifentanil group and the fentanyl group.They were respectively given remifentanil and fentanyl anesthesia.The intraoperative hemodynamic changes and clinical effects of patients in two groups were compared.Results:The intraoperative hemodynamic stability of the remifentanil group was more smooth than that of the fentanyl group.At pneumoperitoneum 2 minutes and intubation 5 minutes,the differences between the clinical indicator changes of the fentanyl group were statistically significant(P<0.05).The postoperative spontaneous breathing time,called eye opening time,catheter removal time and directional force recovery time were compared,and the remifentanil group were better than those of the fentanyl group(P<0.05).Conclusion:Laparoscopic cholecystectomy using remifentanil and fentanyl are effective,but the hemodynamic stability of the former is more smooth than that of the latter,and postoperative recovery is also better than that of the latter.It should be the first choice of anesthesia scheme.关键词
瑞芬太尼/芬太尼/腹腔镜/胆囊切除Key words
Remifentanil/Fentanyl/Laparoscope/Cholecystectomy引用本文复制引用
张红..瑞芬太尼与芬太尼在腹腔镜胆囊手术中应用的效果比较[J].中国社区医师,2014,(33):66-67,2.
