七氟烷复合丙泊酚及芬太尼对妇科宫腔镜手术患者麻醉效果和血流动力学的影响  

Effects of Sevoflurane Combined with Propofol and Fentanyl on Anesthetic Effect and Hemodynamics in Patients Undergoing Gynecological Hysteroscopic Surgery

作　　者：王群芳 WANG Qunfang(Department of Anesthesia,Shanggao County Maternal and Child Care Hospital,Shanggao 336400,Jiangxi,China)

机构地区：[1]上高县妇幼保健院麻醉科,江西上高336400

出　　处：《医学信息》2024年第21期123-125,共3页Journal of Medical Information

摘　　要：目的研究七氟烷复合丙泊酚及芬太尼对妇科宫腔镜手术患者麻醉效果和血流动力学的影响。方法选取2023年1月-6月在我院行妇科宫腔镜手术50例患者为研究对象,采用随机数字表法分为对照组和观察组,各组25例。对照组采用丙泊酚及芬太尼麻醉,观察组采用七氟烷复合丙泊酚及芬太尼麻醉。比较两组麻醉起效时间、清醒时间、Ramsay镇静评分、心率(HR)、动脉压(MAP)、苏醒后疼痛评分(VAS)及不良反应发生率。结果观察组麻醉起效时间、清醒时间均短于对照组,Ramsay镇静评分高于对照组(P<0.05);两组HR、MAP均低于麻醉前,但观察组HR、MAP高于对照组(P<0.05);观察组苏醒后10 min、2 h、3 h的VAS评分均低于对照组(P<0.05);观察组不良反应发生率与对照组比较,差异无统计学意义(P>0.05)。结论七氟烷复合丙泊酚及芬太尼在妇科宫腔镜手术中麻醉效果理想,对患者血流动力学影响小,可减轻其疼痛度,提高Ramsay镇静评分,缩短麻醉起效和清醒时间,且不增加不良反应,安全性良好。Objective To study the effects of sevoflurane combined with propofol and fentanyl on anesthesia and hemodynamics in patients undergoing gynecological hysteroscopic surgery.Methods A total of 50 patients who underwent gynecological hysteroscopic surgery in our hospital from January to June 2023 were selected as the research objects.They were divided into control group and observation group by random number table method,with 25 patients in each group.The control group was anesthetized with propofol and fentanyl,and the observation group was anesthetized with sevoflurane combined with propofol and fentanyl.The onset time of anesthesia,awake time,Ramsay sedation score,heart rate(HR),arterial pressure(MAP),pain score after recovery(VAS)and incidence of adverse reactions were compared between the two groups.Results The onset time and awake time of anesthesia in the observation group were shorter than those in the control group,and the Ramsay sedation score was higher than that in the control group(P<0.05).The HR and MAP of the two groups were lower than those before anesthesia,but the HR and MAP of the observation group were higher than those of the control group(P<0.05).The VAS score of the observation group at 10 min,2 h and 3 h after awakening was lower than that of the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the observation group and the control group(P>0.05).Conclusion Sevoflurane combined with propofol and fentanyl has an ideal anesthetic effect in gynecological hysteroscopic surgery,and has little effect on the hemodynamics of patients.Meanwhile,it can reduce their pain,improve Ramsay sedation score,shorten the onset of anesthesia and awake time,and does not increase adverse reactions,with good safety.

关 键 词：七氟烷 丙泊酚 芬太尼 宫腔镜手术 麻醉效果 血流动力学 

分 类 号：R614[医药卫生—麻醉学]