全凭静脉联合喉罩七氟醚吸入麻醉在腹腔镜辅助阴式子宫全切术中的应用  

Application value of total intravenous combined with sevoflurane laryngeal mask inhalation anesthesia in laparoscopic assisted vaginal hysterectomy

作　　者：雷剑[1] 孙新朝 汪宝军[1] LEI Jian;SUN Xin-zhao;WANG Bao-jun(Department of Anesthesiology,Guanganmen Hospital,Chinese Academy of Chinese Medical Sciences,Beijing 102618,China)

机构地区：[1]中国中医科学院广安门医院(南区)麻醉科,北京102618

出　　处：《蚌埠医学院学报》2018年第11期1478-1480,共3页Journal of Bengbu Medical College

摘　　要：目的:分析腹腔镜辅助下行阴式子宫全切术时全凭静脉联合喉罩七氟醚吸入麻醉的效果。方法:选取拟行阴式子宫全切术病人100例,对照组47例,全凭静脉麻醉方式;观察组53例,实施全凭静脉联合喉罩七氟醚吸入麻醉。对比分析2组麻醉不同时间段内平均动脉压、心率、术后苏醒时间、麻醉起效时间、术后出现疼痛及给药时间。结果:2组病人T1、T2时间点平均动脉压及心率差异均无统计学意义(P> 0. 05);从T3时间点开始,观察组平均动脉压及心率均明显高于对照组(P <0. 01)。观察组术后苏醒时间及麻醉起效时间均明显短于对照组(P <0. 01)。术后出现疼痛及给药时间均明显高于对照组(P <0. 01)。结论:腹腔镜辅助下阴式子宫全切术中实施全凭静脉联合喉罩七氟醚吸入麻醉,可有效缩短麻醉起效及术后苏醒用时,临床应用效果较优。Objective： To analyze the application value of total intravenous combined with sevoflurane laryngeal mask inhalation anesthesia in laparoscopic assisted vaginal hysterectomy. Methods： One hundred patients scheduled by vaginal hysterectomy were divided into the control group（ n = 47） and observation group（ n = 53）. The control group and observation group were anesthetized using total intravenous method,and total intravenous combined with sevoflurane laryngeal mask inhalation method,respectively. The mean arterial pressure,heart rate,postoperative recovery time,anesthetic initiation time,and postoperative pain and administration time between two groups were compared. Results： The differences of the mean arterial pressure and heart rate between two groups at T1 and T2 were not statistically significant（ P〉0. 05）. After T3,the mean arterial pressure and heart rate in observation group were significantly higher than those in control group（ P〈0. 01）. The postoperative awakening time and onset time of anesthesia in observation group were significantly shorter than those in control group（ P〈0. 01）,and the postoperative pain time and administration time in observation group was significantly higher than those in control group（ P〈0. 01）. Conclusions： The application of total intravenous combined with sevoflurane laryngeal mask inhalation anesthesia in laparoscopic assisted vaginal hysterectomy can effectively shorten the onset time of anesthesia and postoperative awakening time,which has better clinical effect.

关 键 词：子宫全切术 腹腔镜 全凭静脉 喉罩 七氟醚 吸入麻醉 

分 类 号：R713.42[医药卫生—妇产科学]