两种全身麻醉方式应用于痔上黏膜环切术的比较  

The compare of two general anesthesia methods used in Procedure for Prolapse and Hemorrhoids Patients

作　　者：孟利刚[1] 吴涯雯[1] 詹鸿[1] 

机构地区：[1]广州医学院第三附属医院,510150

出　　处：《广州医药》2009年第1期43-45,共3页Guangzhou Medical Journal

摘　　要：目的观察两种不同全身麻醉方式应用于痔上黏膜环切术(PPH)的临床效果。方法将80例痔疮患者随机分成F、L两组,分别采用丙泊酚复合芬太尼及丙泊酚复合氯胺酮的麻醉方式。两组术中均用输注泵以15ml/h注入丙泊酚,直到手术结束。观察围术期MAP、HR及SpO2变化,术中效果及术后并发症,对手术时间、麻醉费用、患者留院时间及留院费用的结果进行比较分析。结果F组MAP在推药后3分钟与基础值相比较有统计学差异(P<0.05);推药后3分钟F组SpO2较基础值明显下降(P<0.01);术中辅助呼吸例数两组比较有明显统计学差异(P<0.01)。术后并发症两组比较无统计学差异(P>0.05)。其他观察指标两组比较无统计学差异(P>0.05)。结论PPH术使用丙泊酚复合氯胺酮的麻醉方式,术中效果满意,术后苏醒快、恢复快,并发症少。Objective To investigate two different ways general anesthesia used in the clinical effect of procedure for prolapse and hemorrhoids （PPH） patients. Methods 80 patients were randomly divided into piles F, L groups, respectively, using propofol and fentanyl compound propofol ketamine anesthesia. Two groups of patients in both the infusion pumps used to 15 ml/h injection of propofol until the end of the operation. Perioperative observation of MAP, HR and SpO2 changes in the effect of intraoperative and postoperative comlications of surgery, anesthesia fees, hospital patients and hospital costs of the time the resuits of a comparative analysis. Results Group F results of the MAP at the push 3 min after the drug compared with the value-based statistical difference （ P 〈 0. 05 ）, push 3 min after the drug F group than the basis of the value of the SpO2 decreased （P 〈0. 01 ）, assisted surgery in a few cases of respiratory two groups statistically significant difference （P 〈0. 01 ） . Post-operative complications compared with no significant difference between the two groups （ P 〉 0. 05 ） . The other two groups observed no significant difference （ P 〉 0. 05） . Conclusion PPH patients using propofol combined ketamine anesthesia, intraoperatire satisfied with the results ; regained consciousness soon after and rapid recovery.

关 键 词：丙泊酚 芬太尼 氯胺酮 局部麻醉 经吻合器痔上黏膜环状切除术 

分 类 号：R614[医药卫生—麻醉学] R657.1[医药卫生—外科学]