目的 探討舒芬太尼聯(lián)合丙泊酚靜脈麻醉在腹腔鏡膽囊切除術(shù)中的麻醉效果。方法 選取182例須行腹腔鏡膽囊切除術(shù)患者，隨機(jī)分為兩組，對(duì)照組（81例）給予瑞芬太尼聯(lián)合丙泊酚靜脈麻醉，觀察組（101例）給予舒芬太尼聯(lián)合丙泊酚靜脈麻醉。觀察并記錄兩組患者術(shù)后自主呼吸恢復(fù)時(shí)間、睜眼時(shí)間、拔管時(shí)間，術(shù)后1、6、12 h的VAS評(píng)分及麻醉期間患者并發(fā)癥情況，評(píng)價(jià)舒芬太尼復(fù)合丙泊酚靜脈麻醉在腹腔鏡膽囊切除術(shù)中的麻醉效果。結(jié)果 觀察組自主呼吸恢復(fù)時(shí)間、睜眼時(shí)間、拔管時(shí)間均明顯長于對(duì)照組（P<0.05）；術(shù)后1、6、12 h，觀察組患者VAS評(píng)分明顯低于對(duì)照組（P<0.05）；麻醉期間，觀察組患者出現(xiàn)蘇醒期躁動(dòng)的比例明顯低于對(duì)照組，并發(fā)癥總發(fā)生率也明顯低于對(duì)照組（P<0.05）。結(jié)論 舒芬太尼聯(lián)合丙泊酚對(duì)腹腔鏡膽囊切除術(shù)后患者具有良好的麻醉作用，患者術(shù)后痛覺感受輕微，少蘇醒期躁動(dòng)，值得臨床推廣使用。

Objective To discuss the efficacy of sufentanil combined with propofol in iv anesthesia during laparoscopic cholecystectomy.Methods Totally 182 patients received laparoscopic cholecystectomy. They were divided into two groups according to odd or even number of hospitalization. The control group (81 cases) were given remifentani combined with propofol for iv anesthesia. The observation group (101 cases) were given sufentanil combined with propofol for iv anesthesia. The anesthetic effect of sufentanil combined with propofol for iv anesthesia during laparoscopic cholecystectomy was evaluated by breathing recovery time, opening time, extubation time, VAS scores after 1, 6, 12 h, and complications during anesthesia.Results Breathing recovery time, opening time, and extubation time of observation group were longer than those of control group (P<0.05). The VAS scores after 1, 6, and 12 h of observation group were lower than those of the control group (P<0.05). During anesthesia, the proportion of restlessness in observation group was lower than that in control group (P<0.05). The complication rate of observation group was lower than that of control group (P<0.05).Conclusion Sufentani combined with propofol has a good anesthetic effect on patients receiving laparoscopic cholecystectomy with mild postoperative pain and less restlessness. It is worthy of clinical use.