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目的:探讨胆囊切除术患者应用瑞芬太尼复合丙泊酚进行静脉麻醉的效果。方法:抽取2017年8月至2019年7月在郑州市第三人民医院接受腹腔镜胆囊切除术治疗的102例患者作为研究对象，根据随机数字表法将其分为两组。对照组51例，进行瑞芬太尼＋七氟烷复合麻醉；观察组51例，进行瑞芬太尼＋丙泊酚复合麻醉。对比两组患者的血流动力学指标、镇静效果、麻醉恢复时间。结果:观察组患者插管时、拔管时的收缩压、心率水平均低于对照组(n P均<0.05)。观察组患者喉罩拔除后3 min的OAAS评分高于对照组，苏醒时、苏醒30 min的Ramsay镇静评分高于对照组(n P<0.05)。观察组患者的苏醒时间、自主呼吸及定向力恢复时间均短于对照组(n P均<0.05)。n 结论:瑞芬太尼＋丙泊酚复合麻醉可改善胆囊切除术患者血流动力指标，且镇静效果更好，麻醉恢复时间更短。“,”Objective:To observe the effects of remifentanil combined with propofol intravenous anesthesia on patients undergoing cholecystectomy.Methods:A total of 102 patients who underwent laparoscopic cholecystectomy in Zhengzhou Third People’s Hospital from August 2017 to July 2019 were selected as the research objects. And they were divided into two groups by the random number table method. Patients (51 cases) in the control group were given remifentanil combined with sevoflurane anesthesia; while patients (51 cases) in the observation group were given remifentanil combined with propofol anesthesia. The hemodynamic indexes, sedation effect, and anesthesia recovery time of the two groups were compared.Results:The systolic blood pressure and heart rate levels at the time of intubation and extubation of the observation group were lower than those of the control group (all n P<0.05). The Observer Assessment of Alertness/Sedation score (OAAS) of the observation group was higher than that of the control group at 3 min after laryngeal mask extraction, and Ramsay sedation score after 30 min of awakening of the observation group was higher than that of the control group (n P<0.05). The recovery time, spontaneous breathing and orientation recovery time of the observation group were shorter than those of the control group (alln P<0.05).n Conclusions:Remifentanil combined with propofol anesthesia can improve the hemodynamic index of patients undergoing cholecystectomy, and has a better sedative effect and a shorter recovery time from anesthesia.