羟考酮复合丙泊酚用于宫腔镜手术麻醉安全性和效果研究

发布时间：2018-04-10 00:07

本文选题：羟考酮复合丙泊酚　切入点：宫腔镜手术　出处：《中国农村卫生》2016年18期

【摘要】：目的:探讨羟考酮复合丙泊酚用于宫腔镜手术麻醉的安全性和效果。方法:随机抽取我院于2014年10月至2015年10月期间收治的并接受宫腔镜手术的70例患者作为研究对象。遵循随机原则、平均原则以及对照原则进行分组,分为观察组与对照组,两组各有35例。观察组采用羟考酮复合丙泊酚进行麻醉,对照组采用芬太尼复合丙泊酚进行麻醉,观察并比较两种麻醉方式的效果。结果;与实施麻醉之前相比,两组患者心率减慢、平均动脉压降低,差异有统计学意义(P0.05),但组间比较,差异无统计学意义(P0.05);术中,观察组患者的呼吸抑制发生率、呼吸暂停发生率分别为11.43%、2.86%,对照组患者的呼吸抑制发生率、呼吸暂停发生率分别为37.14%、17.14%,观察组明显低于对照纽,差异有统计学意义(P0.05);术后,观察组患者的宫缩痛镇痛效果明显优于对照组;术后,研究组的并发症(主要是恶心呕吐)发生率为8.57%,对照组为11.43%,差异无统计学意义(P0.05)。结论:为接受宫腔镜手术的患者应用羟考酮复合丙泊酚进行麻醉,术中呼吸抑制轻、镇痛效果好,且术后还可以起到良好的宫缩痛镇痛效果。
[Abstract]:Objective: to investigate the safety and effect of hydroxycodone combined with propofol in hysteroscopic anesthesia.Methods: 70 patients undergoing hysteroscopy were randomly selected from October 2014 to October 2015.According to random principle, average principle and control principle, they were divided into observation group and control group with 35 cases in each group.The observation group was anesthetized with hydroxycodone and propofol, while the control group was anesthetized with fentanyl and propofol.Results: compared with before anesthesia, the heart rate and mean arterial pressure of the two groups were decreased, the difference was statistically significant (P 0.05), but there was no significant difference between the two groups (P 0.05).The incidence of apnea in the control group was 37.14% and 17.14%, respectively, which was significantly lower than that in the control group (P 0.05).The incidence of complications (mainly nausea and vomiting) was 8.57 in the study group and 11.43in the control group, there was no significant difference between the two groups (P 0.05).Conclusion: for the patients undergoing hysteroscopic surgery with hydroxycodone combined with propofol for anaesthesia, the effect of intraoperative respiratory inhibition is light, the analgesia effect is good, and the analgesic effect of uterine contraction pain can be improved after operation.
【作者单位】：青岛龙田金秋妇产医院麻醉科;
【分类号】：R614

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