瑞芬太尼复合七氟烷麻醉用于经腹腹膜前腹股沟疝修补术镇痛的临床效果及安全性

打开文本图片集

中图分类号：R614文献标识码：A

DOI：10.3969/j.issn.1006-1959.2025.15.023 文章编号：1006-1959（2025）15-0109-04

ClinicalEffectand SafetyofRemifentanil Combined with Sevoflurane Anesthesia forAnalgesiainTransabdominalPreperitonealHerniaRepair

LI Zheng

（DepartmentofAnesthesiology，Guangchang CountyPeople'sHospital，Guangchang 3449oo，Jiangxi，China）

Abstract：ObjectiveToinvestigatetheclinicalefectandsafetyofremifentanilombinedwithsevofluraneaesthesiaforanalgesiain transabdominalpreperitoalheepair（AP）MethodsFroJauary1toecember，6OpatientsundergogTAPPinGanghan CountyPeople'sHospitalwereseletedanddividedintoontrolgoup（3Opaients）ndosevationgroup3Opatients）yandomuable methodTecoopsesteditfealombdithoofoldtseatioosesteditil combinedwiofae）ol pressure （MAP），heart rate （HR） at time points of T0 （before anesthesia），T （peritoneal incision），T （extubation）]，anesthesiarecovery time （eye opening tie，spontaoiaitidoos wasosigfaeSotlistaios was no significant difference in MAP and HR levels at ΔT09 T1 and T2 time points in the observation group（ P> 0.05）.There were significant differences in MAP and HR levels at To， T1 and T2 time points in the control group（ P<0.05 ，and there were significant differences in MAP and HR levelsat T1 （20 and T2 time points between the two groups P<0.05） .Theeye opening time，spontaneous breathing recovery time and orientation recovery time of the observatiogrouperestantoseoftoolopndteicideneofestafswassstantatofttolou P< 0.05）.Coclusioeifetalomdithvofuraeestsiaanplgoesttictinalgsdssiie stable effect on the hemodynamic level of patients，with fast recoveryand high safety.

Keywords：TAPP;Anesthesia;Propofol;Sevoflurane;Remifentanil;Hemodynamics;Anesthesiarecoverytime;Sideffects

经腹腹膜前腹股沟疝修补术（transabdominalpreperitonealherniarepair，TAPP）为腹外疝常用治疗方式，旨在借助外科手段完成疝囊的回纳与切除操作，以修复患者腹壁结构，达到治疗目的[2]。（剩余5295字）