首页|环泊酚对宫腔镜手术麻醉患者基础体征及术后疼痛的影响研究

环泊酚对宫腔镜手术麻醉患者基础体征及术后疼痛的影响研究

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目的 探讨环泊酚对宫腔镜手术麻醉患者基础体征及术后疼痛的影响.方法 随机选取2021年5月—2024年1月于福建省武夷山市中医院行宫腔镜手术的60例患者为研究对象,根据随机数表法分为两组,每组30例.对照组应用丙泊酚,观察组应用环泊酚,比较两组不同时间段的基础体征、术后疼痛状况、麻醉相关指标及其安全性.结果 两组各时点的基础体征(平均动脉压与心率)比较,差异无统计学意义(P均>0.05).术后3 h、6 h,两组的疼痛评分比较,差异无统计学意义(P均>0.05).观察组苏醒时间、定向力复常时间短于对照组,差异有统计学意义(P均<0.05).观察组麻药总用量为(34.89±4.75)mg,少于对照组的(121.43±29.38)mg,差异有统计学意义(t=15.926,P<0.001).观察组不良反应总发生率低于对照组,差异有统计学意义(P<0.05).结论 环泊酚在稳定宫腔镜手术麻醉患者的基础体征、减轻术后疼痛方面的效果与丙泊酚相当,并可明显减少麻药用量,加快患者苏醒,保障用药安全.
Effect of Ciprofol on Basic Signs and Postoperative Pain in Patients Under-going Hysteroscopic Surgery Anesthesia
Objective To investigate the effect of ciprofol on basic signs and postoperative pain in patients undergoing hysteroscopic surgery.Methods Sixty patients who underwent hysteroscopic surgery in Wuyishan Hospital of Tradi-tional Chinese Medicine of Fujian Province,from May 2021 to January 2024 were randomly selected for the study,and were divided into two groups of 30 cases each according to the method of random number table.Propofol was applied to the control group and ciprofol was applied to the observation group.The basal signs at different time periods,postop-erative pain status,anesthesia-related indexes and their safety were compared between the two groups.Results Com-parison of the basic physical signs(mean arterial pressure and heart rate)between the two groups at each time point showed not statistically significant difference(both P>0.05).At 3 h and 6 h postoperatively,the pain assessment scores of the two groups were compared,and the differences were not statistically significant(both P>0.05).The time of awakening and time of reorientation in the observation group was shorter than that in the control group,and the dif-ference was statistically significant(both P<0.05).The total dosage of anesthetic in the observation group was(34.89±4.75)mg,which was less than(121.43±29.38)mg in the control group,and the difference was statistically significant(t=15.926,P<0.001).The total incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of ciprofol on stabilizing the ba-sic signs and reducing postoperative pain in patients undergoing hysteroscopic surgery anesthesia is comparable to that of propofol,and can significantly reduce the dosage of anesthetics,accelerate the recovery of patients,and ensure the safety of medication.

Anesthesia for hysteroscopic surgeryCiprofolBasic signsPostoperative painSecurity

陈建城

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福建省武夷山市中医院麻醉科,福建 南平 354300

宫腔镜手术麻醉 环泊酚 基础体征 术后疼痛 安全性

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(19)
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