首页|环泊酚与丙泊酚在腹部手术全麻诱导中有效性及安全性比较

环泊酚与丙泊酚在腹部手术全麻诱导中有效性及安全性比较

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目的 探讨环泊酚在腹部手术全身麻醉诱导过程中的有效性及安全性。方法 选取兰州大学第一医院择期行腹部手术需全身麻醉的患者,随机分为环泊酚组与丙泊酚组,每组54例。记录诱导成功率及给药至眼睑反射消失时间、至麻醉深度指数达到60的时间、至气管插管所需的时间,并评价注射痛。记录诱导过程中血压波动、心率变化、补充用药、血管活性药使用及拔管后30 min内恶心、嗜睡等不良事件发生情况。结果 丙泊酚组、环泊酚组均成功完成全麻诱导,诱导成功率分别为96。3%、100%(P>0。05),其中环泊酚组麻醉诱导剂量明显小于丙泊酚组(P<0。05)。环泊酚组从诱导给药至麻醉深度指数到60的时间,给药至气管插管的时间均小于丙泊酚组(P<0。05)。两组气管插管前后的平均动脉压均低于基础平均动脉压,且环泊酚组降幅比丙泊酚组低(P<0。05)。两组患者心率变化不规律,差异无统计学意义;血氧饱和度入室吸氧后均升高,而后保持相对稳定。环泊酚组注射痛等不良反应发生率明显低于丙泊酚组(P<0。05)。结论 环泊酚在腹部手术中的诱导效果稍优于丙泊酚,环泊酚具有对循环影响小、注射痛轻微等不良反应发生率低的优点。
Efficacy and safety of ciprofol versus propofol in general anes-thesia induction for abdominal surgery
Objective To investigate the efficacy and safety of ciprofol in general anesthesia induction for ab-dominal surgery.Methods Patients undergoing abdominal surgery were randomly separated into two groups:the Propofol and the Ciprofol group,with 54 in each.The induction success rate,time to loss of eyelash reflex after drug administration,time for the anesthesia index to 60,and time to tracheal intubation were recorded.Fluctuation of blood pressure and heart rate during induction,use of rescue drugs and vasoactive drugs,and the occurrence of adverse events such as nausea and somnolence within 30 minutes after extubation,etc.were recorded.Results The induction success rate was 96.3%in the Propofol group and 100%in the Ciprofol one,respectively,with no statistical significance(P>0.05),and the induction dose in the former significantly lower than that in the latter(P<0.05).The time for the anesthesia index to 60 and tracheal intubation in the Ciprofol group was significantly shorter compared to the Propofol group(P<0.05).No significant difference was observed in the time to loss of eyelash reflex between the two.Mean artery pressure values before and after endotracheal intubation were lower in both than in basic mean arterial pressure,and the decrease in the Ciprofol group was lower than that in the Propofol group(P<0.05).The changes in heart rate were irreg-ular in both groups,and blood oxygen saturation increased after oxygen inhalation and remained stable in both.The Ciprofol group had a notably lower incidence of injection pain and adverse reactions compared to the Propofol group(P<0.05).Conclusion The induction effect of ciprofol in abdominal surgery is slightly better than that of propofol.Ciprofol has the advantages of minimal impact on the circulatory system and a lower incidence of adverse reactions such as injection pain.

ciprofolpropofolgeneral anesthesiamajor abdominal surgery

韩芳芳、王俊泽、吕根、王秀梅、王瑞、李玉兰

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兰州大学第一医院 麻醉手术科,甘肃 兰州 730000

兰州大学 第一临床医学院,甘肃 兰州 730000

环泊酚 丙泊酚 全身麻醉 腹部手术

2024

兰州大学学报(医学版)
兰州大学

兰州大学学报(医学版)

CSTPCD
影响因子:0.641
ISSN:1000-2812
年,卷(期):2024.50(11)