不同剂量丙泊酚与雷米芬太尼在妇科腹腔镜手术中的麻醉效果对比

发布时间：2017-12-30 21:00

本文关键词：不同剂量丙泊酚与雷米芬太尼在妇科腹腔镜手术中的麻醉效果对比　出处：《中国处方药》2016年07期 　论文类型：期刊论文

【摘要】：目的分析妇科腹腔镜手术中不同剂量丙泊酚与雷米芬太尼的麻醉效果。方法选择2013年5月~2015年5月收治的妇科腹腔镜手术患者90例,根据简单随机抽样法分为大、中和小剂量麻醉制剂组各30例,根据其病历资料进行总结。比较三组患者睁眼时间、拔管时间、意识恢复时间、术中疼痛感受和不良反应情况。结果小剂量组患者睁眼时间、拔管时间和意识恢复时间均显著快于其他两组,中剂量组患者睁眼时间显著快于大剂量组。三组之间进行两两比较,术中疼痛遗忘率和不良反应发生率无显著差异。结论在妇科腹腔镜手术中,给予小剂量(2μg/m L)的丙泊酚与雷米芬太尼并不会影响麻醉程度,但是其恢复时间显著快于给予中、大剂量组患者,可见小剂量的丙泊酚与雷米芬太尼具有更为优质的麻醉效果。
[Abstract]:Objective to analyze the anesthetic effect of different doses of propofol and remifentanil in gynecological laparoscopic surgery. According to the simple random sampling method, the patients were divided into three groups: large, medium and small dose anesthetic group (n = 30). The time of eye opening, extubation and consciousness recovery were compared among the three groups according to the data of their medical records. Results the time of eye opening, extubation and recovery of consciousness in the low dose group were significantly faster than those in the other two groups. The time of eye opening in the middle dose group was significantly faster than that in the high dose group. There was no significant difference in the incidence of pain amnesia and adverse reactions between the three groups. Conclusion the results showed that there was no significant difference in the rate of pain amnesia and adverse reactions in gynecological laparoscopic surgery. Propofol and remifentanil at a low dose of 2 渭 g / m L did not affect the anesthetic degree, but the recovery time was significantly faster than that in the medium dose group. It can be seen that low dose propofol and remifentanil have better anaesthesia effect.
【作者单位】：汉川市人民医院;
【分类号】：R614
【正文快照】： 随着技术水平的不断进步,腹腔镜手术获得了长足的发展,表1:两组患者睁眼、拔管和意识恢复时间的比较(χ—±s,min) 在部分妇科手术中,其可以代替开放性手术进行治疗。腹腔镜手术创口小,机体恢复速度快,留下的疤痕也较小,这对于女性患者来说具有较大的优势[1]。丙泊酚与雷米芬

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