Target-controlled Intravenous Anesthesia Versus Intravenous Inhalational Anesthesia by Using Propofol-fentanyl or Propofol-remifentanil

Objective To probe into the clinical effects of target-controlled intravenous anesthesia and intravenous inhalational anesthesia by using propofol-fentanyl or propofol-remifentanil.Methods 90 patients who received laparoscopic cholecystectomy from 2012 April to 2013 April were selected and randomly divided into the observation group and the control group,with 45 patients in each group.The control group was given intravenous inhalational anesthesia,and the observation group was given targetcontrolled intravenous anesthesia.The anesthetic effects of the two groups were compared.Results SBP,DBP,HR and MAP of the two groups during anesthesia induction were of no statistical difference(P0.05).The SBP of the observation group was less than90 mmHg and its intubation response rate was significantly lower than that of the control group(P0.05).The extubation time(17±5.6)min and postoperative recovery time(19±8.2)min of the observation group were significantly shorter than those(22±7.2、23±4.6)min of the control group.In reducing intubation stress reaction,the observation group was better than the control group(P0.05).Conclusion Propofol-fentanyl or Propofol-remifentanil target-controlled intravenous anesthesia is more stable in the clinical application,and the clinical value of postoperative extubation and recovery is higher,so it is worth clinical promotion.