依托咪酯与丙泊酚分别联合瑞芬太尼应用于宫腔镜手术麻醉效果的比较

发布时间：2018-12-20 18:29

【摘要】：目的:比较依托咪酯与丙泊酚分别联合瑞芬太尼应用于宫腔镜手术的麻醉效果。方法:收治宫腔镜手术女性患者80例,随机分为依托咪酯-瑞芬太尼(ER)组和丙泊酚-瑞芬太尼(PR)组各40例。记录术前(T1)、术中(T2)和苏醒时(T3)的收缩压(SBP)、舒张压(DBP)、HR、SPO_2及术中BIS值、诱导时间、手术时间、术后苏醒时间、定向力恢复时间,观察术中不良反应发生情况及术后并发症的发生率。结果:ER组术中收缩压(SBP)低于术前(P0.05)。PR组术中、术后的SBP、DBP及术中的HR、SPO_2均低于术前(P0.05)。ER组诱导时间及低氧血症的发生率低于PR组(P0.05),肌肉震颤的发生率高于PR组,苏醒时间及定向力恢复时间ER组明显缩短(P0.05)。两组术中的BIS值、手术时间、术后头晕、恶心呕吐等不良反应的发生率差异无统计学意义(P0.05)。结论:宫腔镜手术中,应用依托咪酯-瑞芬太尼麻醉引起的不良反应率明显低于丙泊酚-瑞芬太尼麻醉。
[Abstract]:Objective: to compare the anesthetic effects of etomidate and propofol combined with remifentanil in hysteroscopic surgery. Methods: 80 female patients undergoing hysteroscopic surgery were randomly divided into etomidate-remifentanil (ER) group and propofol-remifentanil (PR) group. Systolic blood pressure (SBP),) diastolic blood pressure (DBP), HR,SPO_2), induction time, operation time, postoperative recovery time, recovery time of directional force were recorded before operation (T1), during operation (T2) and during recovery (T3). The incidence of adverse reactions and postoperative complications were observed. Results: systolic blood pressure (SBP) in ER group was lower than that in preoperative group (P0.05). PR group, SBP,DBP during operation and HR, during operation). SPO_2 was lower than before (P0.05). ER group induction time and the incidence of hypoxemia was lower than PR group (P0.05), the incidence of muscle tremor was higher than that of PR group, the recovery time of recovery time and orientation in ER group was significantly shorter (P0.05). There was no significant difference in the incidence of adverse reactions such as BIS, operation time, postoperative dizziness, nausea and vomiting between the two groups (P0.05). Conclusion: the adverse reaction rate of etomidate-remifentanil anesthesia is lower than that of propofol-remifentanil anesthesia.
【作者单位】：厦门市妇幼保健院麻醉科;
【分类号】：R614

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