首页|妇科腹腔镜手术静脉辅助麻醉中瑞芬太尼的应用研究进展

妇科腹腔镜手术静脉辅助麻醉中瑞芬太尼的应用研究进展

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随着我国医疗卫生事业的突飞猛进,微创技术在临床的应用已日趋成熟,其中以腹腔镜技术对妇科疾病的治疗较为突出.妇科腹腔镜手术因具有创伤小、康复快、疼痛轻等优点,已广泛应用于临床.然而,腹腔镜手术中的气腹及特殊体位等因素,给麻醉管理带来了挑战.瑞芬太尼作为一种新型阿片类药物,具有起效快、作用强、持续时间短等特点,瑞芬太尼与丙泊酚等麻醉药物联合应用后可促使药物间相互协作,共同维持镇痛镇静效果,降低气腹对手术操作导致的应激反应,因此在妇科腹腔镜手术静脉辅助麻醉中具有重要应用价值.然而,目前为止,麻醉中瑞芬太尼的临床维持用量并无统一标准,还需要在研究中进一步确定.本文旨在综述瑞芬太尼在妇科腹腔镜手术静脉辅助麻醉中的应用研究进展,以期为临床麻醉提供参考.
Research progress on the application of remifentanil in intravenous anesthesia for gynecological laparoscopic surgery
With the rapid progress of China's medical and health industry,minimally invasive technology has become increasingly mature,among which laparoscopic technology is more prominent in the treatment of gynecological diseases.Gynecological laparoscopic surgery has been widely used in clinical practice due to its advantages of minimal trauma,fast recovery,and mild pain.However,factors such as pneumoperitoneum and special positioning in laparoscopic surgery pose challenges to anesthesia management.As a new type of opioid drug,remifentanil has the characteristics of fast onset,strong action,and short duration.When used in combination with anesthesia drugs such as propofol,remifentanil can promote drug cooperation,jointly maintain analgesic and sedative effects,and reduce the stress response caused by pneumoperitoneum to surgical operations.Therefore,it has important application value in intravenous assisted anesthesia for gynecological laparoscopic surgery.However,so far,there is no unified standard for the clinical maintenance dosage of remifentanil during anesthesia,and further confirmation is needed in research.This article aims to review the research progress of the application of remifentanil in intravenous anesthesia for gynecological laparoscopic surgery,in order to provide reference for clinical anesthesia.

GynecologyLaparoscopic surgeryRemifentanil

严进军、周金田、曾羡秋

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吉林省肿瘤医院麻醉科,吉林长春 130012

妇科 腹腔镜手术 瑞芬太尼

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(14)