舒芬太尼和瑞芬太尼靶控输注静脉麻醉在妇科腹腔镜手术中的应用  

Sufentanil and Remifentanil Target Controlled Infusion Intravenous Anesthesia for Gynecologic Laparoscopic Surgery

作　　者：赵俊锦 焦艳玲[1] 谭兴中[1] Zhao Junjin;Jiao Yanling;Tan Xingzhong(Department of Anesthesiology,Bazhong Sichuan 636000,China)

机构地区：[1]四川省巴中市中心医院麻醉科,四川巴中636000

出　　处：《医疗装备》2018年第11期77-78,共2页Medical Equipment

摘　　要：目的探讨对舒芬太尼和瑞芬太尼靶控输注静脉麻醉在妇科腹腔镜手术中的应用效果。方法随机选取2016年9月至2017年6月妇科进行腹腔镜手术患者68例作为研究对象,根据患者的入院时间,将其分为两组,各34例,其中对照组采用异丙酚和瑞芬太尼靶控输注静脉麻醉,试验组采用异丙酚和舒芬太尼靶控输注静脉麻醉,比较两组血流动力学参数、术后恶心呕吐发生率、疼痛发生率以及复苏室停留时间。结果试验组平均动脉压(MAP)明显高于对照组,差异有统计学意义(P<0.05)。对照组恶心呕吐发生率为14.7%,高于试验组的2.9%,差异有统计学意义(P<0.05)。试验组疼痛率5.9%,低于对照组的17.6%,差异有统计学意义(P<0.05)。试验组复苏室停留时间为(42.36±11.74)min,优于对照组的(76.26±14.58)min,差异有统计学意义(P<0.05)。结论两种药物均能够起到良好的麻醉效果,而舒芬太尼能够将镇痛作用充分展现,并且能够有效减少疼痛状况和不良反应,缩短复苏室停留时间,避免并发症的发生。Objective To evaluate the efficacy of sufentanil and remifentanil target controlled infusion intravenous anesthesia in gynecologic laparoscopic surgery.Methods A lot of 68 patients treated with gynecological laparoscopic surgery in our hospital from June 2016 to September 2017 were randomly selected as the research object.According to the patient's hospitalization time,the patients can be divided into two groups,with 34 cases in each group.The control group used propofol and remifentanil target controlled infusion anesthesia method,and the experimental group used propofol and sufentanil target controlled infusion intravenous anesthesia.The hemodynamic parameters,incidence of postoperative nausea and vomiting,incidence of pain and recovery room residence time were compared between the two groups.Results he mean arterial pressures(MAPs)in the experimental group were much higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of nausea and vomiting in the control group was 14.7%,which was much higher than that in the experimental group(2.9%),and the difference was statistically significant(P<0.05).The pain rate of the experimental group was 5.88%,which was much lower than that of the control group(17.65%),and the difference was statistically significant(P<0.05).The retention time of the resuscitation room in the control group was(76.26+14.58)min,and the stay time of the experimental group was(42.36+11.74)min;The retention time of the resuscitation room in the experimental group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The two drugs are able to play good anesthetic effects,and analgesic effect of sufentanil can be fully displayed.Sufentanil can effectively reduce pain and adverse reaction,shorten the recovery room residence time,avoid the occurrence of complications,and has good prospects in clinical practice.

关 键 词：腹腔镜手术 舒芬太尼 瑞芬太尼 

分 类 号：R614.24[医药卫生—麻醉学]