右美托咪定复合丙泊酚在妇科宫颈锥切术中的应用效果  

Application effect of dexmedetomidine combined with propofol in gynecological cervical conization

作　　者：赵婉晴 Zhao Wanqing(Department of Anesthesiology,Mudanjiang Cancer Hospital,Mudanjiang 157000,China)

机构地区：[1]牡丹江市肿瘤医院麻醉科,黑龙江牡丹江157000

出　　处：《实用妇科内分泌电子杂志》2022年第14期39-42,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨妇科宫颈锥切术中实施右美托咪定复合丙泊酚麻醉的效果。方法选取70例宫颈锥切术患者为研究对象,根据随机数字表法分为对照组与研究组,每组35例。研究组采用右美托咪定复合丙泊酚,对照组采用地佐辛复合丙泊酚。评估两组麻醉效果、体征、不良反应、恢复时间。结果麻醉后5、30 min时,研究组Ramsay评分均高于对照组,视觉模拟评分法(VAS)评分均低于对照组,差异均有统计学意义(P<0.05)。麻醉后5 min时,两组呼吸、心率比较,差异均无统计学意义(P>0.05)。麻醉后30 min时,两组呼吸、心率均低于麻醉后5 min时,且研究组均高于对照组,差异均有统计学意义(P<0.05)。研究组不良反应发生率为5.71%,低于对照组的25.71%,差异有统计学意义(P<0.05)。研究组麻醉后恢复时间均短于对照组,差异均有统计学意义(P<0.05)。结论右美托咪定复合丙泊酚用于宫颈锥切术患者,能降低麻醉不良反应发生率,增强镇静镇痛效果,有效抑制体征波动,麻醉后回复时间较短,值得临床推广。Objective To investigate the effect of dexmedetomidine combined with propofol anesthesia in gynecological cervical conization.Methods A total of 70 patients with cervical conization were randomly divided into control group and study group,35 cases in each group.The study group received dexmedetomidine combined with propofol,while the control group received dezocine combined with propofol.The anesthetic effect,signs,adverse reactions and recovery time of the two groups were evaluated.Results At 5 and 30 min after anesthesia,Ramsay score in the study group was higher than that in the control group,Visual Analogue Scale(VAS)score was lower than that in the control group,and the differences were statistically significant(P<0.05).At 5 min after anesthesia,there was no significant difference in respiration and heart rate between the two groups(P>0.05).At 30 min after anesthesia,the respiration and heart rate of the two groups were lower than those at 5 min after anesthesia,and the study group was higher than that of the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the study group was 5.71%,which was lower than 25.71%in the control group,and the diference was statistically significant(P<0.05).The recovery time of the study group was shorter than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Dexmedetomidine combined with propofol in patients undergoing cervical conization can reduce the incidence of adverse anesthesia reactions,enhance sedative and analgesic effects,effectively inhibit signs fluctuation,and shorten the recovery time after anesthesia,which is worthy of clinical promotion.

关 键 词：宫颈锥切术 右美托咪定 丙泊酚 麻醉效果 体征指标 不良反应 恢复时间 

分 类 号：R614[医药卫生—麻醉学]