丙泊酚复合瑞芬太尼靶控输注在腹腔镜子宫肌瘤剥除术中应用观察  

Effect of Target Controlled Infusion of Propofol with Remifentanil on Laparoscopic Myomectomy

作　　者：党博[1] 邵勇[1] 

机构地区：[1]郑州大学第三附属医院,河南郑州450052

出　　处：《西藏医药》2017年第4期33-35,共3页Tibetan Medicine

摘　　要：目的探讨丙泊酚复合瑞芬太尼靶控输注在腹腔镜子宫肌瘤剥除术中的应用效果。方法选取在我院行腹腔镜子宫肌瘤剥除术患者62例,按抽签顺序分为两组,各31例。对照组采用七氟醚复合瑞芬太尼麻醉,观察组实施丙泊酚复合瑞芬太尼麻醉,比较两组血流动力学指标及术后恢复情况。结果与对照组比较,观察组麻醉优良率提高,拔管时间及苏醒时间明显缩短,差异有统计学意义(P<0.05)。结论在腹腔镜子宫肌瘤剥除术中靶控输注丙泊酚复合瑞芬太尼可提高麻醉效果,促进患者术后恢复。Objective： To investigate the clinical effect of target controlled infusion （TCI） of propofol and remifentanil on laparoscopic myomectomy. MeUlods： In total, 62 patients undergoing laparoscopic myomectomy in our hospital were selected as the objects of study. They were randomly divided into control group and test group with 31 patients in each group. Patients in control group were given sevoflurane and remifentanil to anesthetize, while patients in test group were given propofol and remifentanil to anesthetize. The hemodynamic indexes and postoperative recovery were compared in two groups. Results： As to anesthetic effect, the ratio o f excellence in test group was significant better than that in control group. Postoperative awake and extubated time in test group was significandy ^ster than those in test group （P 〈 0.05）. Condusions： Target controlled infusion of propofol and remifentanil can effectively improve the anesthesia effect in laparoscopic myomectomy and promote postoperative recovery.

关 键 词：丙泊酚 瑞芬太尼 把控输注 腹腔镜 子宫肌瘤剥除术 

分 类 号：R614[医药卫生—麻醉学] R737.33[医药卫生—外科学]