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环泊酚与丙泊酚在无痛取卵手术中的应用效果比较

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目的 探讨环泊酚与丙泊酚在无痛取卵手术中的应用效果.方法 选取2022年3月—2023年3月在本院进行无痛取卵手术患者,随机数字表法分为对照组与观察组,各40例,对照组予以丙泊酚,观察组予以环泊酚.分析两组临床指标、镇痛效果;比较两组入室时(T0)、麻醉诱导1 min后(T1)、麻醉诱导3 min后(T2)及麻醉诱导5 min后(T3)血流动力学变化;对比两组呼吸暂停、术后不良反应发生率及镇静补救例数.结果 与同组T0时刻相比,T1~T3时刻两组心率(HR)、血氧饱和度(SpO2)、脑电双频指数(BIS)、平均动脉压(MAP)水平均先下降后上升,且观察组T1~T3时刻HR、SpO2、BIS及MAP水平均高于对照组(P<0.05);观察组呼吸暂停发生率(10.00%)低于对照组(27.50%),静脉注射痛发生率(2.50%)低于对照组(20.00%),差异具有统计学意义(P<0.05),呼吸抑制、恶心呕吐、眩晕及镇静补救发生例数差异无统计学意义(P>0.05).结论 在无痛取卵手术患者中应用环泊酚与丙泊酚均具有较好镇静镇痛效果,诱导时间及苏醒时间相当,但相较于丙泊酚,环泊酚更有利于呼吸循环稳定,减少静脉注射痛的发生.
Comparison of application effects of ciprofol and propofol in painless oocyte retrieval
Objective To investigate the application effects of ciprofol and propofol in painless oocyte re-trieval.Methods The patients who underwent painless oocyte retrieval in the hospital from March 2022 to March 2023 were selected,and randomly divided into control group(40 cases)and observation group(40 cases),receiving propofol anesthesia and ciprofol anesthesia,respectively.Clinical indicators and analgesic effects in the 2 groups were analyzed.The 2 groups were compared on hemodynamic changes when the pa-tient entering the room(T0),at 1 min after anesthesia induction(T1),at 3 min after anesthesia induction(T2)and at 5 min after anesthesia induction(T3),the incidence rates of apnea and postoperative adverse reactions,and the number of the patients receiving sedative remedy.Results Compared with T0 time of the same group,heart rate(HR),oxygen saturation(SpO2),bispectral index(BIS)and mean arterial pressure(MAP)in the 2 groups were decreased firstly and then were increased from T1 to T3.HR,SpO2,BIS and MAP in observation group at T1-T3 were higher than those in control group(P<0.05).The incidence rates of apnea in observation group(10.00%)was lower than that in control group(27.50%),and the incidence of intravenous injection pain(2.50%)was lower than that in control group(20.00%),with statistical significance(P<0.05),while there was no statistically significant difference in the incidence rates of respiratory depression,nausea and vomiting,dizziness and sedative remedy(P>0.05).Conclusion Both ciprofol and propofol can achieve good sedative and analgesic effects in patients undergo-ing painless oocyte retrieval,with similar induction time and wake-up time.Compared with propofol,ciprofol is more conducive to respiratory and circulatory stability,and it can reduce intravenous injection pain.

ciprofolpropofolpainless oocyte retrievalapplication effect

李银洁、王宏宇、李林

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中国人民解放军北部战区总医院麻醉科,沈阳 110000

环泊酚 丙泊酚 无痛取卵 应用效果

辽宁省卫生健康科研基金项目

2018D009

2024

新疆医科大学学报
新疆医科大学

新疆医科大学学报

CSTPCD
影响因子:0.76
ISSN:1009-5551
年,卷(期):2024.47(9)