丙泊酚復(fù)合瑞芬太尼靶控輸注麻醉對腹腔鏡闌尾切除術(shù)術(shù)后自主呼吸及拔管時間的影響

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中圖分類號：R656.8 文獻標識碼：A文章編號：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

腹腔鏡闌尾切除術(shù)（laparoscopic appendectomy）為外科常見微創(chuàng)術(shù)式，可利用腹部通道與內(nèi)鏡器械的有效配合，完成病灶組織的探查與切除操作，具有創(chuàng)傷小、出血少、恢復(fù)快等特點，現(xiàn)廣泛應(yīng)用于闌尾炎疾病的臨床治療中[2]。（剩余5509字）