摘要
目的评价靶控输注(target controlled infusion,TCI)瑞芬太尼复合吸入七氟烷3种不同配伍剂量用于腹腔镜手术的麻醉效果和麻醉恢复情况。方法选择ASAⅠ~Ⅱ级择期行腹腔镜胆囊切除术或腹腔镜卵巢囊肿切除术45例,随机分为3组,每组15例。3组诱导方式均相同。麻醉维持:A组为瑞芬太尼血浆靶控输注6ng/ml复合吸入0.4MAC(minimal alveolar concentration,肺泡最低有效浓度)七氟烷;B组为瑞芬太尼血浆靶控输注4ng/ml复合吸入0.65MAC七氟烷;C组为瑞芬太尼血浆靶控输注2ng/ml复合吸入1.0MAC七氟烷。观察患者麻醉和术中脑电双频指数(bispectral index,BIS)、平均动脉压(meanarterial pressure,MAP)、心率(heartrate,HR)及术后呼吸恢复时间、睁眼时间、气管导管拔管时间、定向力恢复时间等指标。结果3组病人术中生命体征平稳,无须调整七氟烷和瑞芬太尼的用量。3组术中各时点MAP、HR无统计学差异(P>0.05)。术中各时点BIS值A组明显高于B组和C组,B组明显高于C组(P<0.05)。3组病人在麻醉恢...
Objective To study the effects of target-controlled infusion (TCI) of remifentanil combined with sevoflurane at different minimal alveolar concentration (MAC) on anesthetic outcome and post-anesthetic recovery during and after laparoscopic operations. Methods Forty-five ASA stage Ⅰ-Ⅱ patients undergoing selective laparoscopic cholecystectomy or laparoscopic oophorocystectomy were randomly divided into three groups (n=15 in each), and induced with the same method. In group A, anesthesia was maintained with T...
出处
《中国微创外科杂志》
CSCD
2008年第2期109-112,共4页
Chinese Journal of Minimally Invasive Surgery
关键词
瑞芬太尼
七氟烷
麻醉
Remifentanil
Sevoflurane
Anesthesia
