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腹腔镜胆囊切除术中麻醉药物对机体所产生的影响325例临床分析
引用本文:邱久立,张雯,崔莉. 腹腔镜胆囊切除术中麻醉药物对机体所产生的影响325例临床分析[J]. 北华大学学报(自然科学版), 2004, 5(4): 344-345
作者姓名:邱久立  张雯  崔莉
作者单位:北华大学,附属医院,吉林,吉林,132011;东北电力学院,校医院,吉林,吉林,132001;辉南县人民医院,吉林,辉南,130000
摘    要:目的探求适合腹腔镜胆囊切除术有效麻醉方法.方法同期腹腔镜胆囊切除术患者325例,随机分为3组,应用异丙酚、乙醚酯、硫喷妥钠诱导麻醉,其他诱导药物相同.术后48h内双盲法收集麻醉中知晓资料.结果 3组知晓分别为13%,5.2%,12%(P<0.05).无痛知晓异丙酚优于其他2种.结论异丙酚麻醉作用时间最短,知晓发生率最高,乙醚酯麻醉作用时间长于异丙酚,遗忘作用最强.硫喷妥钠苏醒类似乙醚酯,术中知晓与异丙酚相似.

关 键 词:麻醉药物  腹腔镜胆囊切除术  知晓  遗忘作用
文章编号:1009-4822(2004)04-0344-02
修稿时间:2004-03-03

Clinical Analysis of 325 Cases of Intravenous Anesthetics on Body during Laparoscopic Cholecystectomy
QIU Jiu-liWen,CUI Li. Clinical Analysis of 325 Cases of Intravenous Anesthetics on Body during Laparoscopic Cholecystectomy[J]. Journal of Beihua University(Natural Science), 2004, 5(4): 344-345
Authors:QIU Jiu-liWen  CUI Li
Affiliation:QIU Jiu-liWen~2,CUI Li~3
Abstract:ObjectiveTo explore anesthesia method suited to laparoscopic cholecystectomy.Methods325 patients were divided into 3 groups randomly. Information of awareness was biblindly obtained within 48 hours after operation.ResultsThe perioperative awareness of 3 groups were 13%,(5.2%),12%(P<(0.05)). Moreover, the propofols group had the highest incidence of awareness.ConclusionPropofol has the shortest anesthesia course in three anesthetics, but it has the highest rate of awareness. Etomidates anesthetizing time is longer than propofols and it has the strongest effect of forgetfulness. Thiopentals anesthetizing time is similar to etomidates, however, its perioperative incidence of awareness is similar to propofols.
Keywords:Intravenous anesthetics  Laparoscopic cholecystectomy  Awareness  Forgetfulness
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