浅析腹腔镜宫外孕术中不同浓度麻醉药物的临床麻醉效果

发布时间：2018-03-07 00:28

本文选题：腹腔镜手术　切入点：宫外孕　出处：《中国现代药物应用》2016年02期 　论文类型：期刊论文

【摘要】：目的分析不同浓度麻醉药物在腹腔镜宫外孕手术中的临床效果。方法 90例行宫外孕腹腔镜手术患者,随机分成甲、乙、丙三组,每组30人。三组均采用丙泊酚、瑞芬太尼进行麻醉,二者靶控浓度分别为:甲组:2.5μg/ml、8.0 ng/ml,乙组:3.0μg/ml、6.0 ng/ml,丙组:3.5μg/ml、4.0 ng/ml。观察三组患者苏醒时间、拔管时间、各时间点心率及动脉收缩压数值。结果甲组患者停用麻醉类药物后苏醒时间与拔管时间最少,乙组次之,丙组最长,三组比较差异有统计学意义(P0.05);在心率(HR)及动脉收缩压(SBP)上,甲组建立气腹前后SBP较为稳定,但HR明显增快;乙组,HR和SBP变化不明显,HR维持在72.2次/min左右,SBP保持在124.0 mm Hg(1 mm Hg=0.133 k Pa)左右;丙组HR明显增快,SBP明显升高。结论不同浓度的麻醉药物使用对宫外孕腹腔镜手术的顺利进行意义重大,应当根据具体手术操作要求确定给药浓度,发挥联合用药的麻醉作用。
[Abstract]:Objective to analyze the clinical effects of different concentrations of anesthetic drugs in laparoscopic ectopic pregnancy. Methods 90 patients with ectopic pregnancy were randomly divided into three groups: group A, B and C, with 30 patients in each group. Propofol was used in all three groups. Remifentanil was anesthetized. The target control concentrations of remifentanil were as follows: group A: 2.5 渭 g / ml, group B: 3.0 渭 g / ml, group B: 3.0 渭 g / ml, 6.0 ng / ml, group C: 3.5 渭 g / ml, 4.0 ng / ml. The recovery time and extubation time of the three groups were observed. Results the recovery time and extubation time were the least in group A, followed by group B and group C, there were significant differences among the three groups (P 0.05), heart rate and systolic blood pressure (SBP). SBP in group A was stable before and after pneumoperitoneum was established, but HR increased significantly in group B, and the changes of HR and SBP in group B were maintained at about 124.0 mm Hg(1 Hg=0.133 k Pa. Conclusion the use of different concentrations of anesthetic drugs is of great significance for the successful operation of ectopic pregnancy laparoscopic surgery, so the concentration of drugs should be determined according to the operation requirements, and the combined use of narcotic drugs should be played.
【作者单位】：辽宁省营口市中医院麻醉科;
【分类号】：R614

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