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《Medical Recapitulate》 2016-11
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Effect of Sevoflurane with Remifentanil Target-controlled Infusion on Gastric Surgery Patient's Pulse Oximetry and Bispectoral Index

WEN Xiao-juan;MA Lin;Department of Anesthesiology,Baoji Traditional Chinese Medicine Hospital;Department of Surgery,Baoji Traditional Chinese Medicine Hospital;  
Objective To study the effect of sevoflurane with remifentanil target-controlled infusion on gastric surgery patient' s pulse oximetry and bispectoral. Methods Total of 90 patients receiving gastric cancer surgery in Baoji Traditional Chinese Medicine Hospital from Jan. 2012 to Aug. 2015 were included in the study. They were divided into observation group and control group according to the random number table method,45 cases each. The observation group was treated with sevoflurane remifentanil target-controlled infusion,while the control group received only remifentanil infusion,and the pulse oximetry and bispectoral index changes of the two groups were comparatively analyzed. Results After treatment the bispectoral index of the observation group was lower than the control group( 82. 0 ± 3. 1 vs 86. 6 ± 2. 6),there was significant difference( P 0. 01); the alert sedation score was significantly lower than the control group [( 3. 62 ± 0. 57)scores vs( 4. 41 ± 0. 45) scores]( P 0. 01); the number of cases of respiratory arrest 20 s,pulse oximetry ≤0. 95 of the observation group were significantly less than the control group[4. 4%( 2 /45) vs 20. 0%( 9 /45),2. 2%( 1 /45) vs 22. 2%( 10 /45) ]( P 0. 05); the pulse oximetry during anesthetic treatment of the observation group was significantly higher than the control group( 0. 986 ± 0. 006 vs 0. 936 ± 0. 029)( P 0. 05). Estuation time and eye opening time of the observation group was shorter than the control group[( 6. 2 ± 0. 9) min vs( 10. 3 ± 1. 3) min,( 10. 2 ± 2. 3) min vs( 15. 8 ± 2. 6) min],the differences were statistically significant( P 0. 01). Conclusion Sevoflurane with remifentanil target-controlled infusion is safe and effective for patients with gastric cancer surgery,which can significantly improve the bispectoral index and pulse oximetry.
【CateGory Index】: R614;R735.2
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