首页|靶控瑞芬太尼和舒芬太尼分别复合丙泊酚用于宫腔镜手术麻醉价值分析

靶控瑞芬太尼和舒芬太尼分别复合丙泊酚用于宫腔镜手术麻醉价值分析

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目的 分析靶控瑞芬太尼和舒芬太尼分别复合丙泊酚用于宫腔镜手术麻醉中的价值.方法 选取32例择期宫腔镜手术患者,根据随机数字表法分为对照组与研究组,各16例.对照组采用靶控瑞芬太尼复合丙泊酚麻醉,研究组采用靶控舒芬太尼复合丙泊酚麻醉,比较两组麻醉效果.结果 研究组意识消失时间、睁眼时间、定向力恢复时间均较对照组短,差异具有统计学意义(P<0.05).研究组麻醉优良率为100%,高于对照组的75.00%,差异具有统计学意义(P<0.05).麻醉前(T0),两组的收缩压(SBP)、舒张压(DBP)、心率(HR)水平比较,差异无统计学意义(P>0.05);手术5min(T1)、术毕即刻(T2),研究组SBP、DBP水平较对照组高,HR水平较对照组低,差异具有统计学意义(P<0.05).结论 在宫腔镜手术中采用靶控输注舒芬太尼复合丙泊酚可提升麻醉质量,维持血流动力学稳定.
Value analysis of target controlled remifentanil and sufentanil combined with propofol in hysteroscopic surgery
Objective To analyze the value of target controlled remifentanil and sufentanil combined with propofol in hysteroscopic surgery anesthetic.Methods 32 patients with elective hysteroscopic surgery were selected and divided into a control group and a study group(16 cases each)according to random number table method.The control group was anesthetised by target-controlled remifentanil combined with propofol,and the study group was anesthetised by target-controlled sufentanil combined with propofol.The anesthetic effects of the two groups were compared.Results The time of consciousness loss,eye opening time and orientation recovery time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The excellent and good rate of anesthesia in the study group was 100%,higher than 75.00%in the control group,and the difference was statistically significant(P<0.05).Before anesthesia(T0),the levels of systolic blood pressure(SBP),diastolic blood pressure(DBP)and heart rate(HR)between the two groups had no significant differences,(P>0.05).The SBP and DBP levels in the study group were higher than those in the control group at 5 min(T1)of surgery and immediately after surgery(T2),while the HR levels were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Target-controlled infusion of sufentanil combined with propofol in hysteroscopic surgery can improve the quality of anesthesia and maintain hemodynamic stability.

Hysteroscopic surgeryPropofolRemifentanilSufentanil

孙晓红

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吉林省前卫医院麻醉科,吉林长春 130012

宫腔镜手术 丙泊酚 瑞芬太尼 舒芬太尼

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)