对行腹腔镜手术的老年妇科病患者实施靶控输注麻醉的效果分析

发布时间：2018-11-06 10:50

【摘要】：目的 :探讨对进行腹腔镜手术的老年妇科疾病患者实施靶控输注麻醉的临床效果。方法 :对2014年5月至2014年12月期间在我院进行腹腔镜手术的64例老年妇科疾病患者的临床资料进行回顾性研究。我们将这64例患者随机分为靶控组和常规组,每组各有32例患者。在这两组患者进行腹腔镜手术期间,对常规组患者进行静脉复合麻醉,为靶控组患者进行靶控输注麻醉。手术结束后,比较两组患者麻醉起效的时间、术毕至清醒的时间和术毕至痛感恢复的时间。结果 :靶控组患者麻醉起效的时间为1.2±0.5min,其术毕至清醒的时间为5.0±1.2min,其术毕至痛感恢复的时间为19.7±6.1min。常规组患者麻醉起效的时间为3.4±0.6min,其术毕至清醒的时间为15.2±3.1min,其术毕至痛感恢复的时间为40.6±5.7min。靶控组患者麻醉起效的时间、术毕至清醒的时间和术毕至痛感恢复的时间均明显短于常规组患者,二者相比差异具有显著性(P0.05)。结论 :对进行腹腔镜手术的老年妇科疾病患者实施靶控输注麻醉的临床效果确切,可有效地缩短其术毕至清醒的时间和术毕至痛感恢复的时间。
[Abstract]:Objective: to investigate the clinical effect of target controlled infusion anesthesia for elderly gynecological diseases undergoing laparoscopic surgery. Methods: the clinical data of 64 elderly patients with gynecological diseases who underwent laparoscopic surgery in our hospital from May 2014 to December 2014 were retrospectively studied. The 64 patients were randomly divided into target control group and routine group with 32 patients in each group. During the laparoscopic operation, the patients in the routine group were given combined intravenous anesthesia, and the patients in the target control group were anesthetized with target controlled infusion. At the end of the operation, the time of anaesthesia onset, the time between the end of operation and the recovery of pain were compared between the two groups. Results: in the target control group, the effective time was 1.2 卤0.5 min, the time from the end of operation to waking up was 5.0 卤1.2 min, and the time from the end of operation to the recovery of pain was 19.7 卤6.1 min. In the routine group, the effective time of anesthesia was 3.4 卤0.6 min, the time from the end of operation to waking up was 15.2 卤3.1 min, and the time from the end of operation to the recovery of pain was 40.6 卤5.7 min. The time of anesthesia onset, the time from the end of operation to waking and the time of recovery of pain in the target control group were significantly shorter than those in the conventional group (P0.05). Conclusion: the clinical effect of target-controlled infusion anesthesia on senile gynecological diseases undergoing laparoscopic surgery is effective, and it can effectively shorten the time between the end of operation and the recovery of pain.
【作者单位】：河北省饶阳县人民医院麻醉科;
【分类号】：R614

【相似文献】