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盐酸瑞芬太尼复合丙泊酚静脉麻醉在腹腔镜胆囊切除术中应用体会(1)
http://www.100md.com 2011年6月25日 《中国医学创新》2011年第18期
     【摘要】 目的 观察盐酸瑞芬太尼在腹腔镜手术麻醉中的血流动力学监测及应用的有效性和安全性。方法 对本院98例择期腹腔镜胆囊切除术的患者选择气管插管静吸复合麻醉。术中观察SpO2、BP、HR、PETCO2、ECG和拔气管导管时间。结果 术中患者在手术期间各时间点各项生命体征监测指标基本平稳,术后清醒拔管时间,最长15 min,最短5 min,平均为5 min。结论 使用盐酸瑞芬太尼麻醉的腹腔镜手术患者,其血流动力学更稳定,起效快、作用持续时间短、术后苏醒恢复快、镇痛作用强、麻醉效果好,且安全可靠。

    【关键词】 盐酸瑞芬太尼; 腹腔镜手术; 胆囊切除术; 血流动力学

    Hydrochloric acid red fentanyl tabor phenolic compound intravenous anesthesia laparoscopic cholecystectomy in experience WANG Yu-mei.Shenzhen People's Hospital,Shenzhen 518020,China

    【Abstract】 Objective To observe the hydrochloric acid Remifentanyl in laparoscopic surgery anesthesia hemodynamic monitoring and application of efficacy and safety.Methods a total 98 cases having elective patients laparoscopic cholecystectomy choice tracheal intubation static suction composite anesthesia. Intraoperative observations: SpO2, BP, HR, PETCO2, ECG and pull the endotracheal tube time.Results intraoperative in the perioperative period in patients with different time points, each vital signs monitoring index basic smoothly, postoperative sober decannulation 15min, the shortest time, the longest 5min, with an average of 5min.Conclusion using hydrochloric acid Remifentanyl anesthesia laparoscopic surgery patients, its hemodynamic more stable and the effect-acting fast, function short duration, and postoperative revive quick recovery, analgesic action of strong, good effect and safety. ......
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