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瑞马唑仑复合阿芬太尼在宫腔镜子宫内膜病损切除术中的临床应用

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目的 探讨瑞马唑仑复合阿芬太尼在宫腔镜子宫内膜病损切除术中的临床价值.方法 选取80例行宫腔镜子宫内膜病损切除术患者,采取随机数字表法分为两组,各40例.对照组采取丙泊酚+阿芬太尼麻醉,观察组采取瑞马唑仑复合阿芬太尼麻醉.比较两组麻醉效果及术后恢复情况.结果 观察组麻醉诱导时间、自主呼吸恢复时间、拔除喉罩时间均比对照组短(P<0.05).术后6h、术后24 h观察组视觉模拟评分法(VAS)评分明显低于对照组(P<0.05).术后3 h、术后6 h观察组认知功能简易量表(MMSE)评分比对照组高(P<0.05).结论 瑞马唑仑复合阿芬太尼应用于宫腔镜子宫内膜病损切除术中的镇痛效果显著,且术后麻醉苏醒质量较高,认知功能恢复较快.
Clinical application of remazolam combined with afentanil in hysteroscopic resection of endometrial lesion
Objective To investigate the clinical application value of remazolam combined with afentanil in hysteroscopic resection of endometrial lesions.Methods 80 patients undergoing hysteroscopic endometrial lesion resection were divided into two groups with 40 cases in each group by random number table method.The control group was anesthetised with propofol and afentanil,and the observation group was anesthetised with remazolam and afentanil.The anesthetic effect and postoperative recovery were compared between the two groups.Results The time of anesthesia induction,respiratory recovery and laryngeal mask removal in the observation group were shorter than those in the control group(P<0.05).Visual analog scale(VAS)scores in the observation group were significantly lower than those in the control group at 6 h and 24 h after surgery(P<0.05).The score of the simple cognitive function scale(MMSE)in the observation group was higher than that in the control group at 3 h and 6 h after surgery(P<0.05).Conclusion Remazolam combined with fentanyl has a significant analgesic effect during hysteroscopic endometrial lesion resection,and the postoperative anesthesia recovery quality is higher,with faster cognitive function recovery.

Hysteroscopic resection of endometrial lesionRemazolamAfentanilCombined anesthesiaApplication value

郭祥冲

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江苏大学附属澳洋医院 麻醉科,江苏张家港 215600

宫腔镜子宫内膜病损切除术 瑞马唑仑 阿芬太尼 复合麻醉 应用价值

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(18)
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