Effect of anesthesia with intravenous propofol combined with remifentanil in laparoscopic cholecystolithiasis surgery

Central Plains Medical Journal Pub Date : 2020-02-25 DOI:10.3760/CMA.J.ISSN.1674-4756.2020.04.022

W. Dong, Xianbing Zhao, Yongqiang Guo

{"title":"Effect of anesthesia with intravenous propofol combined with remifentanil in laparoscopic cholecystolithiasis surgery","authors":"W. Dong, Xianbing Zhao, Yongqiang Guo","doi":"10.3760/CMA.J.ISSN.1674-4756.2020.04.022","DOIUrl":null,"url":null,"abstract":"Objective \nTo study the effects of anesthesia with intravenous propofol combined with remifentanil in laparoscopic cholecystolithiasis surgery. \n \n \nMethods \nSixty-six patients with gallstones admitted to Xuchang Central Hospital from June 2018 to December 2018 were randomly divided into control group and observation group, with 33 cases in each group. The patients in control group and observation group underwent laparoscopic surgery. Control group was anesthetized with fentanyl and propofol, observation group was anesthetized with propofol and remifentanil. The heart rate and mean arterial pressure of the observation group and the control group before and after anesthesia induction, immediately after incision, immediate incision, and immediate arterial pressure were compared. The postoperative visual analogy score (VAS) score, postoperative extubation time, and spontaneous breathing were recorded. Clinical indicators such as time and wake time. \n \n \nResults \nThere was a statistically significant difference in postoperative extubation time, spontaneous breathing time, and recovery time between the observation group and the control group (P 0.05). After intubation, The heart rate of the observation group [(74.90 ± 11.09) beats/min] was significantly lower than that of the control group [(88.98 ± 11.30) beats/min] after intubation, the difference was statistically significant (P<0.05). After intubation, immediate incision, and immediately after surgery, the heart rate and mean arterial pressure of the observation group were significantly lower than the control group, the difference was statistically significant (P<0.05). \n \n \nConclusions \nThe anesthesia maintenance of propofol and remifentanil in patients with gallstones during laparoscopic surgery is ideal for anesthesia, which can effectively stabilize hemodynamics and shorten postoperative recovery time and recovery time. It has clinical significance. \n \n \nKey words: \nPropofol; Remifentanil; Gallstone; Laparoscopic surgery; Anesthesia","PeriodicalId":9667,"journal":{"name":"Central Plains Medical Journal","volume":"1 1","pages":"72-74"},"PeriodicalIF":0.0000,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Central Plains Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1674-4756.2020.04.022","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Objective To study the effects of anesthesia with intravenous propofol combined with remifentanil in laparoscopic cholecystolithiasis surgery. Methods Sixty-six patients with gallstones admitted to Xuchang Central Hospital from June 2018 to December 2018 were randomly divided into control group and observation group, with 33 cases in each group. The patients in control group and observation group underwent laparoscopic surgery. Control group was anesthetized with fentanyl and propofol, observation group was anesthetized with propofol and remifentanil. The heart rate and mean arterial pressure of the observation group and the control group before and after anesthesia induction, immediately after incision, immediate incision, and immediate arterial pressure were compared. The postoperative visual analogy score (VAS) score, postoperative extubation time, and spontaneous breathing were recorded. Clinical indicators such as time and wake time. Results There was a statistically significant difference in postoperative extubation time, spontaneous breathing time, and recovery time between the observation group and the control group (P 0.05). After intubation, The heart rate of the observation group [(74.90 ± 11.09) beats/min] was significantly lower than that of the control group [(88.98 ± 11.30) beats/min] after intubation, the difference was statistically significant (P<0.05). After intubation, immediate incision, and immediately after surgery, the heart rate and mean arterial pressure of the observation group were significantly lower than the control group, the difference was statistically significant (P<0.05). Conclusions The anesthesia maintenance of propofol and remifentanil in patients with gallstones during laparoscopic surgery is ideal for anesthesia, which can effectively stabilize hemodynamics and shorten postoperative recovery time and recovery time. It has clinical significance. Key words: Propofol; Remifentanil; Gallstone; Laparoscopic surgery; Anesthesia

查看原文本刊更多论文

静脉丙泊酚联合瑞芬太尼麻醉在腹腔镜胆囊结石手术中的效果

目的探讨异丙酚复合瑞芬太尼麻醉在腹腔镜胆囊结石手术中的应用效果。方法选择2018年6月~ 2018年12月许昌市中心医院收治的胆结石患者66例，随机分为对照组和观察组，每组33例。对照组和观察组均行腹腔镜手术。对照组采用芬太尼和异丙酚麻醉，观察组采用异丙酚和瑞芬太尼麻醉。比较观察组和对照组麻醉诱导前后、切开后即刻、切开后即刻、即刻动脉压的心率和平均动脉压。记录术后视觉类比评分(VAS)评分、术后拔管时间、自主呼吸情况。临床指标如时间、醒时等。结果观察组患者术后拔管时间、自主呼吸时间、恢复时间与对照组比较，差异均有统计学意义(P < 0.05)。插管后，观察组患者插管后心率[(74.90±11.09)次/min]显著低于对照组[(88.98±11.30)次/min]，差异有统计学意义(P<0.05)。观察组患者插管后、即刻切开后、术后即刻心率、平均动脉压均显著低于对照组，差异有统计学意义(P<0.05)。结论腹腔镜手术中胆结石患者采用异丙酚联合瑞芬太尼维持麻醉较为理想，可有效稳定血流动力学，缩短术后恢复时间和恢复时间。具有临床意义。关键词:异丙酚;Remifentanil;胆石;腹腔镜手术;麻醉

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Central Plains Medical Journal

自引率

0.00%

发文量