地佐辛联合地塞米松预先给药对宫腔镜手术患者苏醒质量的影响  

Effect of pre-administration of dezocine combined with dexamethasone on the quality of recovery in patients undergoing hysteroscopic surgery

作　　者：程斌 Cheng Bin(Department of Anesthesiology,Suzhou Hospital of Traditional Chinese Medicine,Nanjing University of Chinese Medicine,Suzhou 215003,China)

机构地区：[1]南京中医药大学附属苏州市中医医院麻醉科,江苏苏州215003

出　　处：《实用妇科内分泌电子杂志》2023年第27期71-73,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 探析宫腔镜手术患者采取地佐辛联合地塞米松预先给药对其苏醒质量的影响。方法 选取62例宫腔镜手术患者,采取随机数字表法分组,每组31例。两组均予以七氟烷吸入麻醉,试验组于术前15 min注射地佐辛联合地塞米松,对照组注射等量生理盐水。比较两组苏醒质量、心率(HR)、平均动脉压(MAP)水平及疼痛程度。结果 相比对照组,试验组术后睁眼时间、定向力恢复时间均较短(P<0.05),两组术中出血量、手术时间比较差异无统计学意义(P>0.05)。相比对照组,试验组各时间点HR、MAP水平比较差异无统计学意义(P>0.05)。相比对照组,试验组术后8 h、12 h、24 h的视觉模拟评分法(VAS)评分均较低(P<0.05)。结论 宫腔镜手术采取地佐辛联合地塞米松预先给药可提高术后苏醒质量及镇痛效果,安全有效,值得临床借鉴。Objective To explore the influence of dezocine combined with dexamethasone on the quality of recovery in patients undergoing hysteroscopic surgery.Methods 62 patients with hysteroscopic surgery were selected and divided by random number table method,with 31 patients in each group.Both groups were given sevoflurane inhalation anesthesia,the experimental group was injected with dezocine combined with dexamethasone 15 minutes before surgery,and the control group was injected with the same amount of normal saline.The quality of recovery,heart rate(HR),mean arterial pressure(MAP) and pain were compared between the two groups.Results Compared with the control group,the postoperative eye opening time and orientation recovery time of experimental group were shorter(P<0.05),and the intraoperative blood loss and operation time were not statistically significant between the two groups(P>0.05).Compared with control group,there were no significant differences in HR and MAP levels at each time point in experimental groups(P>0.05).Compared with control group,visual analogue scale(VAS) scores of experimental groups were lower at 8 h,12 h and 24 h after surgery(P<0.05).Conclusion The pre-administration of dezocine combined with dexamethasone in hysteroscopic surgery can improve postoperative recovery quality and analgesic effect,which is safe and effective and worthy of clinical reference.

关 键 词：宫腔镜手术 地佐辛 地塞米松 镇痛 苏醒质量 

分 类 号：R614[医药卫生—麻醉学]