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目的:分析丙泊酚联合瑞芬太尼用于腹腔镜手术中麻醉的临床效果.方法:本文所选择120例接受腹腔镜手术治疗的妇科疾病患者均为我院2014年3月至2017年12月收治,随机将其分成两组,对照组和实验组均为60例;对照组选择异氟烷、芬太尼静脉吸入复合麻醉,实验组选择丙泊酚联合瑞芬太尼静脉注射麻醉,观察分析麻醉效果.结果:实验组的术中心率、舒张压、收缩压稳定性显著优于对照组,比较差异有统计学意义(P<0.05);实验组的术后呼之睁眼时间、自主呼吸恢复时间、拔管时间均显著短于对照组,比较差异有统计学意义(P<0.05);在不良反应发生率方面,实验组显著低于对照组(P<0.05).结论:在腹腔镜手术中,应用丙泊酚联合瑞芬太尼静脉注射麻醉能取得比较理想的麻醉效果,可靠性和安全性理想,具有临床推广价值.“,”objective:to analyze the clinical effect of propofol combined with remifentanil on anesthesia in laparoscopic surgery.Method:in this paper,we selected 120 patients who underwent laparoscopic surgical treatment of patients with gynecological disease were from March 2014 to December 2017 were analyzed,it is divided into two groups at random,control group and experimental group are all 60 cases;The control group selected isoflurane and fentanyl intravenous anesthesia,and the experimental group chose propofol combined with rifentanil intravenous anesthesia to observe the anesthetic effect.Results:the rate,diastolic blood pressure and systolic stability of the experimental group were significantly better than those in the control group,and the difference was statistically significant(P<0.05).In the experimental group,the open-eye time,spontaneous breathing recovery time,and tubal time were significantly shorter than those in the control group,and the difference was statistically significant(P<0.05).In the incidence of adverse reactions,the experimental group was significantly lower than the control group(P<0.05).Conclusion:in laparoscopic surgery,propofol combined with rifentanil intravenous anesthesia can achieve the ideal anesthetic effect,reliability and safety,and is of clinical value.