瑞芬太尼联合丙泊酚麻醉用于经尿道输尿管钬激光碎石术的效果分析  

Analysis of the Effect of Remifentanil Combined with Propofol Anesthesia on Transurethral Ureteral Holmium Laser Lithotripsy

作　　者：任常坦 苏双 刘敏 REN Changtan;SU Shuang;LIU Min(Department of Anaesthesia,Jining Third People's Hospital(Yanzhou District People's Hospital),Jining 272100,Shandong,China)

机构地区：[1]济宁市第三人民医院(兖州区人民医院)麻醉科,山东济宁272100

出　　处：《系统医学》2024年第14期41-44,共4页Systems Medicine

摘　　要：目的对瑞芬太尼联合丙泊酚麻醉用于经尿道输尿管钬激光碎石术的效果进行观察。方法目的选取2022年8月—2023年8月在济宁市第三人民医院行经尿道输尿管钬激光碎石术治疗的80例输尿管结石患者为研究对象,按麻醉方式不同分为40例参照组(麻醉方式:芬太尼+丙泊酚)与40例干预组(麻醉方式:瑞芬太尼+丙泊酚)。对比两组拔管期心血管系统反应情况、麻醉效果及不良反应。结果干预组心血管系统反应情况均优于参照组,差异有统计学意义(P均<0.05);干预组不良反应发生率为2.50%(1/40),低于参照组的15.00%(6/40),差异有统计学意义(χ^(2)=3.914,P<0.05);两组麻醉效果比较,差异无统计学意义(P均>0.05)。结论对经尿道输尿导管钬激光碎石术治疗的患者实施瑞芬太尼+丙泊酚联合麻醉可获得理想效果,能够优化患者拔管期心血管系统反应,降低不良反应发生率。Objective To observe the effect of remifentanil combined with propofol anaesthesia for transurethral ureteral holmium laser lithotripsy.Methods 80 patients with ureteral stones who underwent transurethral holmium laser lithotripsy at the Third People's Hospital of Jining City from August 2022 to August 2023 were objectively selected and 40 cases of the reference group(anaesthesia:fentanyl+propofol)and 40 cases of the intervention group(anaesthesia:remifentanil+propofol)were classified by different anesthesia method.The cardiovascular system reaction during the extubation period,anaesthesia effect and adverse reaction were compared between the 2 groups.Results The cardiovascular system responses in the intervention group were better than those in the reference group,the differences were statistically significant(all P<0.05);The probability of adverse reactions in the intervention group 2.50%(1/40)was lower than 15.00%(6/40)of the reference group,the difference was statistically significant(χ^(2)=3.914,P<0.05);The anaesthetic effects between two groups were compared and the differences were not statistically significant(all P>0.05).Conclusion The implementation of combined anaesthesia of remifentanil+propofol for patients treated with holmium laser lithotripsy via urethral ureteral catheter can obtain ideal results,can optimize the cardiovascular system response of the patients during the extraction period,and play an effective preventive role against adverse reactions.

关 键 词：经尿道输尿管钬激光碎石术 麻醉 瑞芬太尼 丙泊酚 不良反应 

分 类 号：R4[医药卫生—临床医学]