A comparison of curative effect between total Intravenous Anesthesia and combined intravenous with inhalation anesthesia in patients with Iarparoscopic cholecystectomy
10.3760/cma.j.issn.1008-6706.2009.07.015
- VernacularTitle:静脉麻醉在腹腔镜胆囊切除术中的应用
- Author:
Lin LIAO
;
Fan ZHANG
;
Meirong DONG
- Publication Type:Journal Article
- Keywords:
Cholecystectomy,laparoscopi;
Anesthesia,intravenous
- From:
Chinese Journal of Primary Medicine and Pharmacy
2009;16(7):1176-1177
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the application of total intravenous anesthesia(TIVA) in patients with larp-aroscopic cholecystectomy(LC). Methods 100 cases with LC were randomly and evenly assigned to two groups: the combined intravenous with inhalation anesthesia(CIIA) group(n = 50) and the TIVA group(n = 50). The maintain anesthesia. BP, HR and SpO2 at all stages and time for extubation,the consciousness were recorded. Results The pneumoperitoneum after 10 min HR(96.8±13.5)times/min,SBP(142.5±14.3) mmHg、DBP(93.0±14.3) mm-Hg in A group higher than before induction of anesthesia(82.3±12.5) times/min, (129.0±21.7) mmHg, (77.3±13.5) mmHg(P < 0.05～0.01) ; The pneumoperitoneum after 10 min HR (84.0±11.0) times/min, pneumoperito-neum comphte(76.3±9.0) times/rain in B group lower than the(96.8±13.5) times/min, (84.1±11.0) times/min in A group(P >0.05); B group patients completed the opening time(6.5±1.5) min、extubation time (11.5±1.4) min、pestoperative nausea and vomiting in 3 cases,after 8 h VAS value of (2.8±1.1) in group B were lower than the (10.5±2.8) min,(25.2±9.5)min,12 cases(5.4±2.1) in group A(t =2. 411, P <0.05). Conclusion The application of TIVA to LC anesthetic effect is satisfaction.
