Research on sevoflurane combined with remifentanil anesthesia inabdominal surgeries
10.3969/j.issn.1006-5725.2014.04.038
- VernacularTitle:腹部不同手术方式七氟醚复合瑞芬太尼麻醉维持的实践分析
- Author:
Dexing LIU
;
Honglei ZHANG
;
Xue ZHENG
;
Chao ZHANG
;
Zhaoqiong ZHU
- Publication Type:Journal Article
- Keywords:
Sevoflurane;
Balanced anesthesia;
Abdominal operation
- From:
The Journal of Practical Medicine
2014;(4):612-614
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the anesthesia and recovery results of sevoflrane and remifentanil combined anesthesia in open or laparoscopic surgeries. Methods 60 cases of ordinary surgeries from the department of gynecology and general surgeries were included in this study with 30 cases in each group. (1)recording total sevoflurane inhalation time, muscular relaxant amount, end tidal sevoflurane concentration;(2)recording BP,HR at 10 min after induction,operation staring and ending,ventilation recovery, opening eye and extubation period;also sevoflurane concentration 5 min after stopping medicine and ventilation recovery;recording time period between surgery ending and autonomous respiration recovery , eye opening and extubation. Results No any adverse events happen in each patient.the sevoflurane inhalation time in open surgery group was (157.20 ± 47.28) min, longer than that of laparoscopic surgeries group (73.50 ± 11.23)min(P<0.05), we had seen no statistical significance in all other index observed (P>0.05). Conclusion Sevoflurane combined remifentanil anesthesia can achieve stable intra-operative maintenance and rapid postoperative recovery quality , we suggest the widespread usage of it in clinic.