罗哌卡因复合舒芬太尼硬膜外麻醉在腹腔镜卵巢囊肿切除术中的应用

发布时间：2018-06-13 21:13

本文选题：罗哌卡因 + 舒芬太尼　；参考：《中国计划生育学杂志》2016年09期

【摘要】：目的:探讨罗哌卡因复合舒芬太尼硬膜外麻醉在腹腔镜卵巢囊肿切除术中的应用效果。方法:选取90例需行腹腔镜卵巢囊肿切除术的患者,随机分为对照组和观察组各45例,观察组采用罗哌卡因复合舒芬太尼硬膜外麻醉,对照组采用罗哌卡因硬膜外麻醉,观察两组患者术前、术中及术后BP、HR、SPO2等生理指标变化,比较两组不良反应。结果:术前两组HR、SPO2和MAP参数比较无差异(P0.05);术中两组HR、SPO2和MAP参数低于术前(P0.05),且观察组低于对照组(P0.05);术后两组HR、SPO2和MAP参数与术前比较无差异(P0.05);观察组清醒时间、拔管时间及VAS评分优于对照组(P0.05);两组手术时间比较无统计学差异(P0.05);两组患者术后均未出现其它严重不良反应。结论:罗哌卡因复合舒芬太尼硬膜外麻醉用于腹腔镜卵巢囊肿切除术,可显著改善术中主要指标参数,提高麻醉效果,且安全性较好,具有较好的临床应用价值。
[Abstract]:Objective: to investigate the effect of ropivacaine combined with sufentanil epidural anesthesia in laparoscopic ovarian cyst resection. Methods: ninety patients undergoing laparoscopic ovarian cyst resection were randomly divided into control group (n = 45) and observation group (n = 45). The observation group was treated with ropivacaine combined with sufentanil epidural anesthesia, and the control group with ropivacaine epidural anesthesia. The changes of BPHR-SPO _ 2 before, during and after operation were observed and the adverse reactions were compared between the two groups. Results: there was no difference in the parameters of SPO 2 and map between the two groups before operation (P 0.05), the parameters of SPO 2 and map in the two groups were lower than those in the control group (P 0.05) and the parameters of SPO 2 and map in the observation group were lower than those in the control group (P 0.05), and there was no significant difference between the two groups in the parameters of HRO 2 and map before operation (P 0.05). The extubation time and VAS score were better than those in the control group (P 0.05), and there was no significant difference in the operation time between the two groups (P 0.05). There were no other serious adverse reactions in the two groups. Conclusion: ropivacaine combined with sufentanil epidural anesthesia for laparoscopic ovarian cyst resection can significantly improve the main parameters during the operation and improve the anesthetic effect. The safety of ropivacaine combined with sufentanil has good clinical application value.
【作者单位】：陕西省安塞县人民医院麻醉科;
【分类号】：R614

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