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Target controlled infusion of propofol-fentanyl anesthesia and intravenous anesthesia clinical comparison

Zhang Zhong

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Abstract

Objective:Comparison of propofol target-controlled intravenous fentanyl combined with inhalation anesthesia and the clinical indicators. Methods:ASA Ⅰ,Ⅱ elective laparoscopic cholecystectomy patients,90 patients were randomly divided into combined inhalation group (group C) and propofol-fentanyl TCI group (group F) 45 cases. Observed induction of anesthesia,tracheal intubation,recovery process and after treatment of surgery patients and compared the indicators. Results:①Group C during induction of anesthesia hypotension than group F,intubation was higher than in the F group. ②two groups of postoperative recovery time of spontaneous breathing,respiratory,eye opening,extubation time,the differ ence was not statistically significant (P0.05),but the F group of orientation recovery time and leave the recovery room (PACU) time early in the group C. F group of patients left the PACU immediately after extubation,the extubation,1 h and 3 h after the OAAS score higher than the group C,two groups of patients the incidence of postoperative nausea and vomiting was no significant difference (P0.05). Conclusion:Combined anesthesia with conventional laparoscopic cholecystec-tomy when compared to target controlled infusion of propofol induction of anesthesia,fentanyl is more stable and better quality in the wake.

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Objective:Comparison of propofol target-controlled intravenous fentanyl combined with inhalation anesthesia and the clinical indicators. Methods:ASA Ⅰ,Ⅱ elective laparoscopic cholecystectomy patients,90 patients were randomly divided into combined inhalation group (group C) and propofol-fentanyl TCI group (group F) 45 cases. Observed induction of anesthesia,tracheal intubation,recovery process and after treatment of surgery patients and compared the indicators. Results:①Group C during induction of anesthesia hypotension than group F,intubation was higher than in the F group. ②two groups of postoperative recovery time of spontaneous breathing,respiratory,eye opening,extubation time,the differ ence was not statistically significant (P0.05),but the F group of orientation recovery time and leave the recovery room (PACU) time early in the group C. F group of patients left the PACU immediately after extubation,the extubation,1 h and 3 h after the OAAS score higher than the group C,two groups of patients the incidence of postoperative nausea and vomiting was no significant difference (P0.05). Conclusion:Combined anesthesia with conventional laparoscopic cholecystec-tomy when compared to target controlled infusion of propofol induction of anesthesia,fentanyl is more stable and better quality in the wake.

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Available abstract

Objective:Comparison of propofol target-controlled intravenous fentanyl combined with inhalation anesthesia and the clinical indicators. Methods:ASA Ⅰ,Ⅱ elective laparoscopic cholecystectomy patients,90 patients were randomly divided into combined inhalation group (group C) and propofol-fentanyl TCI group (group F) 45 cases. Observed induction of anesthesia,tracheal intubation,recovery process and after treatment of surgery patients and compared the indicators. Results:①Group C during induction of anesthesia hypotension than group F,intubation was higher than in the F group. ②two groups of postoperative recovery time of spontaneous breathing,respiratory,eye opening,extubation time,the differ ence was not statistically significant (P0.05),but the F group of orientation recovery time and leave the recovery room (PACU) time early in the group C. F group of patients left the PACU immediately after extubation,the extubation,1 h and 3 h after the OAAS score higher than the group C,two groups of patients the incidence of postoperative nausea and vomiting was no significant difference (P0.05). Conclusion:Combined anesthesia with conventional laparoscopic cholecystec-tomy when compared to target controlled infusion of propofol induction of anesthesia,fentanyl is more stable and better quality in the wake.

Key concepts: Medicine, Propofol, Anesthesia, Fentanyl, Pacu, Postoperative nausea and vomiting, Intubation, Tracheal intubation

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