[1]熊开亮.丙泊酚联合舒芬太尼用于腹腔镜子宫肌瘤剔除术的麻醉效果[J].医学信息,2021,34(02):158-160.[doi:10.3969/j.issn.1006-1959.2021.02.044]
　XIONG Kai-liang.Anesthetic Effect of Propofol Combined with Sufentanil in Laparoscopic Myomectomy[J].Medical Information,2021,34(02):158-160.[doi:10.3969/j.issn.1006-1959.2021.02.044]
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丙泊酚联合舒芬太尼用于腹腔镜子宫肌瘤剔除术的麻醉效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年02期
页码:
158-160
栏目:
药物与临床
出版日期:
2021-01-15

文章信息/Info

Title:
Anesthetic Effect of Propofol Combined with Sufentanil in Laparoscopic Myomectomy
文章编号:
1006-1959（2021）02-0158-03
作者:
熊开亮
（九江市永修县中医院麻醉科，江西 永修 330300）
Author(s):
XIONG Kai-liang
(Department of Anesthesiology,Yongxiu County Traditional Chinese Medicine Hospital,Yongxiu 330300,Jiangxi,China)
关键词:
丙泊酚; 舒芬太尼; 腹腔镜; 子宫肌瘤剔除术; 麻醉作用
Keywords:
Propofol; Sufentanil; Laparoscopy; Myomectomy; Anesthesia
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2021.02.044
文献标志码:
A
摘要:
目的 研究丙泊酚联合舒芬太尼对腹腔镜子宫肌瘤剔除术的镇痛、麻醉作用及不良反应的影响。方法 选取2018年1月~2020年1月在我院行腹腔镜子宫肌瘤剔除术的84例患者为研究对象，采用随机数字表法分为对照组和观察组，各42例。对照组采用丙泊酚，观察组在对照组基础上联合舒芬太尼，比较两组镇痛效果、麻醉起效时间、疼痛评分（VAS）、意识恢复时间、清醒时间、自主呼吸时间、血浆黏度、动脉压（MAP）、心率（HR）及不良反应发生情况。结果 观察组镇痛总有效率为95.23%，高于对照组的83.33%，差异有统计学意义（P＜0.05）；观察组麻醉起效时间、术中VAS评分小于对照组，差异有统计学意义（P＜0.05）；观察组意识恢复时间、清醒时间、自主呼吸时间短于对照组，差异有统计学意义（P＜0.05）；观察组术中血浆粘度、MAP、HR高于对照组，差异有统计学意义（P＜0.05）；观察组不良反应发生率为4.76%，低于对照组的11.90%，差异有统计学意义（P＜0.05）。结论丙泊酚联合舒芬太尼对腹腔镜子宫肌瘤剔除术镇痛效果确切，优良率高，麻醉起效快，术中患者疼痛评低，术后自主呼吸、意识恢复、清醒时间较短，对血流动力学、心率和MAP影响较小，且临床不良反应少，应用安全可靠。
Abstract:
Objective To study the effects of propofol combined with sufentanil on the analgesia, anesthesia and adverse reactions of laparoscopic myomectomy.Methods A total of 84 patients who underwent laparoscopic myomectomy in our hospital from January 2018 to January 2020 were selected as the research objects. They were divided into control group and observation group by random number table method, with 42 cases in each group. The control group was treated with propofol, and the observation group was combined with sufentanil on the basis of the control group to compare the analgesic effects, anesthesia onset time, pain score (VAS), consciousness recovery time, awake time, spontaneous breathing time, plasma viscosity, arterial pressure (MAP), heart rate (HR) and occurrence of adverse reactions.Results The total effective rate of analgesia in the observation group was 95.23%, which was higher than 83.33% in the control group,the difference was statistically significant(P＜0.05); the observation group’s anesthesia onset time and intraoperative VAS score were lower than those of the control group,the difference was statistically significant (P＜0.05); The observation group’s consciousness recovery time, awake time, and spontaneous breathing time were shorter than those of the control group,the difference was statistically significant (P＜0.05); the observation group’s intraoperative plasma viscosity, MAP,and HR were higher than those of the control group,the difference was statistically significant (P＜0.05); the incidence of adverse reactions in the observation group was 4.76%, which was lower than 11.90% in the control group,the difference was statistically significant (P<0.05).Conclusion Propofol combined with sufentanil has a definite analgesic effect on laparoscopic myomectomy. The excellent and good rate is high, the anesthesia takes effect quickly, the pain evaluation of patients during the operation is low, the postoperative spontaneous respiration, recovery of consciousness, and short awake time,has little effect on hemodynamics, heart rate and MAP, and has fewer clinical adverse reactions, and the application is safe and reliable.

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更新日期/Last Update: 1900-01-01