静吸复合全身麻醉在妇科腔镜手术患者中的应用效果  

Application effects of combined intravenous and inhalation anesthesia in patients undergoing gynecological laparoscopic surgery

作　　者：李伟 LI Wei(Department of Anesthesiology of Xinxiang Maternal and Child Health Hospital,Xinxiang 453000 Henan,China)

机构地区：[1]新乡市妇幼保健院麻醉科,河南新乡453000

出　　处：《中国民康医学》2024年第13期85-87,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察静吸复合全身麻醉在妇科腔镜手术患者中的应用效果。方法:选取2021年4月至2023年6月于该院行妇科腔镜手术治疗的300例患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各150例。对照组采用静脉全身麻醉,观察组采用静吸复合全身麻醉。比较两组麻醉相关指标(麻醉起效时间、麻醉清醒时间、拔管时间)水平,不同时间[麻醉诱导前5 min(T_(0))、手术开始后5 min(T_(1))、术毕(T_(2))]血流动力学指标(平均动脉压、心率)水平,术后不同时间疼痛[视觉模拟评分法(VAS)]评分、镇静(Ramsay镇静评分法)评分,以及不良反应发生率。结果:观察组麻醉起效时间、麻醉清醒时间、拔管时间均短于对照组,差异有统计学意义(P<0.05);T_(1)、T_(2)时,两组平均动脉压、心率水平均低于T_(0)时,但观察组高于对照组,差异有统计学意义(P<0.05);术后3、6 h,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);术后5、15 min,观察组Ramsay镇静评分均高于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:静吸复合全身麻醉应用于妇科腔镜手术患者可改善麻醉相关指标水平,稳定血流动力学指标水平,降低疼痛评分,提高镇静评分,效果优于静脉全身麻醉。Objective:To observe application effects of combined intravenous and inhalation anesthesia in patients undergoing gynecological laparoscopic surgery.Methods:A prospective study was conducted on 300 patients who underwent gynecological endoscopic surgery in this hospital from April 2021 to June 2023.According to the random number table method,they were divided into control group and observation group,150 cases in each group.The control group was treated with intravenous general anesthesia,while the observation group was treated with combined intravenous and inhalation anesthesia.The levels of anesthesia-related indexes (onset time of anesthesia,awake time of anesthesia,extubation time) and hemodynamic indexes (mean arterial pressure and heart rate) at different time[5 min before anesthesia induction (T_(0)),5 min after operation (T_(1)),and at the end of operation (T_(2))],the pain[visual analogue scale (VAS)]scores and the sedation (Ramsay sedation score) scores at different time after operation,and the incidence of adverse reactions were compared between the two groups.Results:The onset time of anesthesia,the awake time of anesthesia and the extubation time in the observation group were shorter than those in the control group,and the differences were statistically significant (P<0.05).At T_(1) and T_(2),the mean arterial pressure and the heart rate of the two groups were lower than those at T_(0),but those in the observation group were higher than those in the control group,and the differences were statistically significant (P<0.05).3 and 6 h after operation,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant (P<0.05).5 and15 min after operation,the Ramsay sedation scores of the observation group were higher than those of the control group,and the differences were statistically significant (P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).Conclusions:The combi

关 键 词：妇科 腔镜手术 静吸复合全身麻醉 静脉全身麻醉 疼痛 血流动力学 镇静 

分 类 号：R614[医药卫生—麻醉学]