瑞芬太尼复合丙泊酚麻醉在妇科腔镜手术中的应用效果  

Application effect of Remifentanil combined with Propofol anesthesia in gynecologic endoscopic surgery

作　　者：李帆 陈艾琼 毕生龙 LI Fan;CHEN Ai-qiong;BI Sheng-long(Department of Anesthesiology,Ganzhou Maternal and Child Health Hospital in Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市妇幼保健院麻醉科,江西赣州341000

出　　处：《中国当代医药》2019年第11期144-146,共3页China Modern Medicine

摘　　要：目的研究瑞芬太尼复合丙泊酚麻醉在妇科腔镜手术中的应用效果。方法随机抽取2017年1月～2018年6月我院收治的60例择期行妇科腔镜手术的患者作为研究对象,根据麻醉方法不同分为对照组和实验组,每组各30例。对照组采用丙泊酚联合芬太尼麻醉,实验组采用瑞芬太尼复合丙泊酚麻醉。记录两组的麻醉起效时间、拔管时间、术后呼吸恢复时间及睁眼时间,同时记录患者的应激反应总发生率及术后不良反应总发生率。结果实验组麻醉起效时间[(2.14±0.65)min]短于对照组[(4.85±0.45)min],差异有统计学意义(P<0.05);实验组的拔管时间[(8.52±2.24)min]短于对照组[(24.22±2.16)min],差异有统计学意义(P<0.05);实验组术后呼吸恢复时间及睁眼时间短于对照组,差异有统计学意义(P<0.05);实验组术中应激反应总发生率(3.33%)低于对照组(30.00%),差异有统计学意义(P<0.05);实验组术后不良反应总发生率(0.00%)低于对照组(33.33%),差异有统计学意义(P<0.05)。结论瑞芬太尼复合丙泊酚麻醉在妇科腔镜手术中的应用效果显著,麻醉效果可准确满足手术实施的要求,安全性及可行性较高,值得应用于临床推广。Objective To study the application effect Remifentanil combined with Propofol anesthesia in gynecological laparoscopic surgery.Methods Sixty patients undergoing elective gynecological laparoscopic surgery admitted to our hospital from January 2017 to May 2018 were randomly selected as the subjects,and divided into control group and experimental group according to the anesthesia method,with 30 cases in each group.The control group was anesthetized with Propofol and Fentanyl,and the experimental group was anesthetized with Remifentanil combined with Propofol.The anesthesia onset time,extubation time,postoperative respiratory recovery time and blink time were recorded,and the incidence of stress response and the total incidence of postoperative adverse reactions were recorded.Results The onset time of anesthesia in the experimental group([2.14±0.65] min)was shorter than that in the control group([4.85±0.45] min),and the difference was statistically significant(P<0.05).The extubation time in the experimental group([8.52±2.24] min)was shorter than that in the control group([24.22±2.16] min),and the difference was statistically significant(P<0.05).The postoperative respiratory recovery time and blink time in the experimental group were shorter than those in the control group(P<0.05).The total incidence of stress response in the experimental group(3.33%)was lower than that in the control group(30.00%),and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in the experimental group(0.00%)was lower than that in the control group(33.33%),and the difference was statistically significant(P<0.05).Conclusion The effect of Remifentanil combined with Propofol anesthesia in gynecological laparoscopic surgery is significant.The anesthetic effect can accurately meet the requirements of surgical implementation,and it is safe and feasible.It is worthy of clinical application.

关 键 词：瑞芬太尼 丙泊酚 妇科腔镜手术 应激反应 麻醉 不良反应 

分 类 号：R614[医药卫生—麻醉学]