妇科腹腔镜手术中静吸复合麻醉与全凭静脉麻醉的临床效果对比  

Comparison of Clinical Effects Between Combined Intravenous Anesthesia and Total Intravenous Anesthesia in Gynecological Laparoscopic Surgery

作　　者：王健[1] 张振[1] 胡北[1] 陈斌[1] WANG Jian;ZHANG Zhen;HU Bei;CHEN Bin(Department of Anesthesiology,Suqian People's Hospital,Nanjing Gulou Hospital Group,Suqian,Jiangsu Province,223800 China)

机构地区：[1]南京鼓楼医院集团宿迁市人民医院麻醉科,江苏宿迁223800

出　　处：《中外医疗》2020年第21期56-58,共3页China & Foreign Medical Treatment

摘　　要：目的比较静吸复合麻醉与全凭静脉麻醉两种麻醉方法用于妇科腹腔镜手术中的效果。方法方便选择2018年2月—2019年11月104例在妇科接受腹腔镜手术治疗的患者为对象,根据麻醉方法不同分为两组,52例患者接受静吸复合麻醉,视作观察组,52例患者接受全凭静脉麻醉,视作对照组,比较两组麻醉后恢复情况。结果观察组瑞芬太尼以及顺式阿曲库铵的使用量少于对照组(t=33.915、15.483,P<0.05),观察组不良反应发生率为7.69%,对照组9.62%(χ^2=0.122,P>0.05);观察组术后拔管、呼吸恢复及意识恢复时间均短于对照组(t=12.497、12.338、14.638,P<0.05)。结论妇科腹腔镜手术中静吸复合麻醉的应用能够较全凭静脉麻醉减少麻醉药物用量,更明显加快恢复。Objective To compare the effects of intravenous combined anesthesia and total intravenous anesthesia in gynecological laparoscopic surgery.Methods From February 2018 to November 2019,104 patients underwent laparoscopic surgery in gynecology were convenienty selected as the object,and they were divided into 2 groups according to different anesthesia methods.52 patients received intravenous inhalation combined anesthesia,which was regarded as the observation group,52 patients underwent full intravenous anesthesia and regarded them as a control group,comparing the recovery of the two groups after anesthesia.Results The use of remifentanil and cis-atracurium in the observation group was less than that in the control group(t=33.915,15.483,P<0.05),the incidence of adverse reactions in the observation group was 7.69%,and the control group was 9.62%(χ^2=0.122,P>0.05);the postoperative extubation,respiratory recovery and consciousness recovery time of the observation group were shorter than that of the control group(t=12.497,12.338,14.638,P<0.05).Conclusion The application of combined anesthesia with intravenous inhalation in gynecological laparoscopic surgery can reduce the dosage of anesthetic drugs compared with intravenous anesthesia,and accelerate recovery significantly.

关 键 词：妇科 腹腔镜手术 静吸复合麻醉 全凭静脉麻醉 

分 类 号：R614[医药卫生—麻醉学]