艾司氯胺酮复合丙泊酚静脉麻醉在宫腔镜手术中的应用效果分析  

Analysis of the Application Effect of Ketamine Combined with Propofol In⁃travenous Anesthesia in Hysteroscopic Surgery

作　　者：匡小敏 谭军源 陈丽青[1] KUANG Xiaomin;TAN Junyuan;CHEN Liqing(Department of Anesthesiology,Yingde People's Hospital of Guangdong Province,Qingyuan,Guangdong,513000,China)

机构地区：[1]广东省英德市人民医院麻醉科,广东清远513000

出　　处：《中外医疗》2024年第26期100-103,共4页China & Foreign Medical Treatment

摘　　要：目的 探讨宫腔镜手术中,应用艾司氯胺酮复合丙泊酚静脉麻醉的临床效果。方法 随机选取2021年7月—2022年12月广东省英德市人民医院收治的100例宫腔镜手术患者为研究对象,以不同麻醉方案将其分为两组,每组50例。参照组采用丙泊酚静脉麻醉方案,研究组应用艾司氯胺酮复合丙泊酚静脉麻醉方案。对两组的不良反应发生情况、围术期指标、血流动力学指标进行评价。结果 睫毛反射消失时至手术结束时,研究组的血流动力学指标优于参照组,差异有统计学意义(P<0.05)。研究组术后苏醒时间短于参照组,差异有统计学意义(P<0.05)。研究组不良反应总发生率为4.00%(2/50),低于参照组的18.00%(9/50),差异有统计学意义(χ^(2)=5.005,P<0.05)。结论 宫腔镜手术中,采取艾司氯胺酮复合丙泊酚静脉麻醉方案,能够加快术后苏醒速度,减少不良反应发生,稳定血流动力学指标。Objective To explore the clinical effect of using ketamine combined with propofol intravenous anesthesia in hysteroscopic surgery.Methods A total of 100 patients with hysteroscopic surgery admitted to Yingde People's Hospital of Guangdong Province from July 2021 to December 2022 were randomly selected as the research objects,and they were divided into two groups according to different anesthesia schemes,with 50 cases in each group.The ref⁃erence group was treated with propofol intravenous anesthesia,and the study group was treated with esketamine com⁃bined with propofol intravenous anesthesia.The incidence of adverse reactions,perioperative indexes and hemody⁃namic indexes of the two groups were evaluated.Results From the disappearance of eyelash reflex to the end of opera⁃tion,the hemodynamic indexes in the study group was better than that in the reference group,and the difference was statistically significant(P<0.05).The postoperative recovery time of the study group was shorter than that of the refer⁃ence group,and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in the study group was 4.00%(2/50)lower than that in the reference group 18.00%(9/50),and the difference was statisti⁃cally significant(χ^(2)=5.005,P<0.05).Conclusion In hysteroscopic surgery,the use of esketamine combined with propo⁃fol intravenous anesthesia can speed up postoperative recovery,reduce the occurrence of adverse reactions,and stabi⁃lize hemodynamic indicators.

关 键 词：宫腔镜手术 静脉麻醉 艾司氯胺酮 丙泊酚 

分 类 号：R614[医药卫生—麻醉学]