靶控瑞芬太尼和舒芬太尼分别复合丙泊酚用于宫腔镜手术麻醉效果分析

发布时间：2018-07-18 15:56

【摘要】：目的:观察靶控输注瑞芬太尼合丙泊酚在宫腔镜手术麻醉的效果分析。方法:选择2014年8月-2016年1月需要宫腔镜手术患者80例,随机分为对照组和观察组,各40例。对照组给予TCI泵靶控输注舒芬太尼,同时静脉输注丙泊酚;观察组给予TCI泵靶控输注瑞芬太尼,同时静脉输注丙泊酚。观察两组麻醉效果、动脉平均血压(MAP)、心率(HR)、呼吸(RR)、血氧饱和度(SPO2)及麻药起效时间、术后苏醒时间、丙泊酚用量等变化情况。结果:对照组麻醉效果优良率为80.0%,观察组为97.5%,两组比较差异有统计学意义(P0.05);麻醉后观察组MAR、HR、RR均明显低于对照组,而观察组SPO2高于对照组,两组比较差异有统计学意义(P0.05);观察组麻药起效时间、术后苏醒时间、丙泊酚用量均少于对照组,两组比较差异有统计学意义(P0.05)。结论:瑞芬太尼合丙泊酚用于宫腔镜手术麻醉效果好,患者体征比较平稳,术后容易苏醒,值得手术麻醉推广使用。
[Abstract]:Objective: to observe the effect of target controlled infusion of remifentanil and propofol in hysteroscopic anesthesia. Methods: 80 patients who needed hysteroscopy from August 2014 to January 2016 were randomly divided into control group and observation group with 40 cases each. In the control group, sufentanil and propofol were given to the TCI pump, while remifentanil and propofol were given to the observation group. The effects of anesthesia, arterial mean blood pressure (map), heart rate (HR), respiration (RR), blood oxygen saturation (SPO _ 2), onset time of anesthesia, postoperative recovery time and propofol dosage were observed. Results: the excellent and good rates of anesthesia in the control group were 80.0 and 97.5 in the observation group, there was significant difference between the two groups (P0.05), after anesthesia, the Marr HRRR of the observation group was significantly lower than that of the control group, while the SPO _ 2 of the observation group was higher than that of the control group. The difference between the two groups was statistically significant (P0.05); in the observation group, the onset time, postoperative recovery time, propofol dosage were lower than those in the control group, the difference between the two groups was statistically significant (P0.05). Conclusion: remifentanil combined with propofol is a good anaesthesia for hysteroscopic surgery.
【作者单位】：宁夏银川市妇幼保健院手术室;
【分类号】：R614

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