妇科腹腔镜手术中实施瑞芬太尼复合丙泊酚靶控输注麻醉的效果  

The effect of remifentanil combined with propofol target-controlled infusion anesthesia in gynecological laparoscopic surgery

作　　者：张冬霞 Zhang Dongxia(Department of Anesthesiology,Anlu Maternal and Child Health Hospital,Xiaogan District,Hubei Province,Xiaogan,Hubei,432600,China)

机构地区：[1]湖北省孝感地区安陆市妇幼保健院麻醉科,湖北孝感432600

出　　处：《当代医学》2020年第21期28-30,共3页Contemporary Medicine

摘　　要：目的探究在妇科腹腔镜手术中靶控输注瑞芬太尼复合丙泊酚的麻醉效果。方法选取2017年5月至2019年3月本院妇科收治的90例行腹腔镜手术治疗的患者作为研究对象,以随机数字分组法分为参照组与研究组,各45例,单数患者纳入参照组,麻醉维持为瑞芬太尼复合丙泊酚常规静脉输注,双数患者纳入研究组,麻醉维持为瑞芬太尼复合丙泊酚靶控输注。观察两组麻醉情况、麻醉效果与麻醉后不良反应发生情况。结果研究组麻醉起效、清醒与拔管时间均短于参照组,差异有统计学意义(P<0.05)。研究组不同时间点OAA/S评分均低于参照组,且研究组麻醉后不良反应发生率(4.44%)低于参照组(22.20%),差异有统计学意义(P<0.05)。结论在妇科腹腔镜手术麻醉中应用瑞芬太尼复合丙泊酚进行靶控输注,可取得理想的麻醉效果,并且麻醉安全性高可预防或减少不良反应,值得临床广泛应用。Objective To explore the anesthetic effect of target-controlled infusion of remifentanil combined with propofol in gynecological laparoscopic surgery. Methods 90 gynecologic patients from May 2017 to March 2019 who underwent laparoscopic surgery in our hospital were selected as the study subjects. The patients were divided into the control group and the study group by random number grouping method, with 45 cases in each group. The singular patients were included in the control group. The anesthesia was maintained by routine intravenous infusion of remifentanil combined with propofol, the double patients were included in the study group, and the anesthesia was maintained by remifentanil combined with propofol. Phenol target-controlled infusion. The anesthesia situation, anesthesia effect and adverse reactions after anesthesia were observed in the two groups. Results Compared with the control group, the time of anesthesia onset, awakening and extubation was shorter in the study group, and the difference was statistically significant(P<0.05). At the same time, the OAA/S scores at different time points in the study group were lower than those in the control group, and the incidence of adverse reactions after anesthesia in the study group(4.44%) was lower than that in the control group(22.20%), and the difference was statistically significant(P<0.05). Conclusion Target-controlled infusion of remifentanil and propofol in gynecological laparoscopic anesthesia can achieve ideal anesthetic effect, and the safety of anesthesia can prevent or reduce adverse reactions, which is worthy of clinical application in the future.

关 键 词：妇科腹腔镜手术 瑞芬太尼 丙泊酚 靶控输注 

分 类 号：R614[医药卫生—麻醉学]