丙泊酚复合瑞芬太尼靶控输注麻醉对腹腔镜阑尾切除术术后自主呼吸及拔管时间的影响

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中图分类号：R656.8 文献标识码：A文章编号：1006-1959（2025）12-0128-04

DOI：10.3969/j.issn.1006-1959.2025.12.027

Effect of Propofol Combined with Remifentanil Target Controlled Infusion Anesthesia on Spontaneous Breathing and Extubation Time After Laparoscopic Appendectomy

LIUHui，LIWulin

（DepartmentofAnesthesiology，ShangliountyPeople'sHospital，hangli37O9，Jiangxi，a）

Abstract：OectiTuetofrofoldiifetanlaeotroldfusiostssoaua andextubationtieafterlaparoscopicappendectomyMtodsUsingtheadomumbertableetodtotall7atientsodewet laparoscopicappndetoyinShanliCoutyPeople'sHospitalfromJuary2toJauary24weredividedintoCgoup（5patintsand controlgroup5its）ousieropfobdifeailstsiandteoolosil combinedwithilousfsisthiaoptioicgeele）e， postoperativeoveryingtie，soaeouseatingoveryieubaititatioeryie）oalit （modifedAldretsale）dveseactisofestsiaerecomparedtweetetwogoupsResultsereasnosignifcantieecn hemodynamic levels（MAP，HR） beforeanesthesia，during intubationand after extubationin TCI group（ P >0.05）.In the control group，the hemodynamiclevelsforessiauringbatiodebatioaeddeeresetly significant （ P< 0.05）.Thereweresatistcallsifantdierecsinemodiclevels （AH）eteenthetorousatiubatiodr extubation（ P<0.05） .Thepostoperativeeyeopening time，spontaneousbreathingrecoverytime，extubationtimeandorientationrecoverytimeinthe TCI group were shorter than those in the control group （ P< 0.05）.The modified Aldrete score at 30 min after recovery in the TCI group was higher than thatinthecontrolgoup（POO5）.Therewasnosignifcantdiferenceintheincidenceofadverseeactionsbetweenthewogroups P>0.05） ： ConclusionPropofolcombinedwithremifentanilTCIhasgodanestheticfectinlaparoscopicpendectomy，whichcanmaintaithe perioperativedcabiliyitsooeryipaliteatiyddet

Keywords：Laparoscopicppendectomy;Propofol;Remifentanil;Targetontrolldifusio;Autonomousbreathg;Awakengti

腹腔镜阑尾切除术（laparoscopic appendectomy）为外科常见微创术式，可利用腹部通道与内镜器械的有效配合，完成病灶组织的探查与切除操作，具有创伤小、出血少、恢复快等特点，现广泛应用于阑尾炎疾病的临床治疗中[2]。（剩余5509字）