瑞马唑仑全凭静脉麻醉在老年腹股沟疝患者腹腔镜下腹股沟疝修补术中的应用效果分析  

Analysis on Application Effect of Remimazolam Total Intravenous Anesthesia in Elderly Patients with Inguinal Hernia Undergoing Laparoscopic Inguinal Hernia Repair

作　　者：李燕菲 张鲲[1] 王金凤 陈博雯 Li Yanfei;Zhang Kun;Wang Jinfeng;Chen Bowen(Department of Anesthesiology,Jingzhou Hospital Affiliated to Yangtze University,Jingzhou 434020,Hubei Province,China)

机构地区：[1]长江大学附属荆州医院麻醉科,湖北荆州434020

出　　处：《中国社区医师》2024年第31期47-49,共3页Chinese Community Doctors

摘　　要：目的:分析瑞马唑仑全凭静脉麻醉(TIVA)在老年腹股沟疝患者腹腔镜下腹股沟疝修补术中的应用效果。方法:选取2023年12月—2024年5月于长江大学附属荆州医院行腹腔镜下腹股沟疝修补术的老年腹股沟疝患者102例作为研究对象,采用随机数字表法分为对照组和试验组,各51例。对照组实施丙泊酚TIVA,试验组实施瑞马唑仑TIVA。比较两组麻醉效果。结果:麻醉诱导前5 min、麻醉诱导1 min后、气管插管即刻、切皮即刻、麻醉结束即刻、手术结束即刻、气管拔管即刻,两组平均动脉压(MAP)、心率(HR)比较,差异无统计学意义(P>0.05);试验组各时间点MAP、HR比较,差异有统计学意义(P<0.05);对照组各时间点MAP、HR比较,差异无统计学意义(P>0.05)。两组麻醉苏醒时间、麻醉后恢复室驻留时间比较,差异无统计学意义(P>0.05)。试验组低血压发生率低于对照组,差异有统计学意义(P<0.05);两组窦性心律失常、苏醒期躁动、注射痛、头痛头晕、术后恶心呕吐发生率比较,差异无统计学意义(P>0.05)。结论:瑞马唑仑TIVA在老年腹股沟疝患者腹腔镜下腹股沟疝修补术中的应用效果显著,可减少术中低血压发生,有利于维持术中血流动力学稳定,安全性较高。Objective:To analyze the application effect of remimazolam total intravenous anesthesia(TIVA)in elderly patients with inguinal hernia undergoing laparoscopic inguinal hernia repair.Methods:A total of 102 elderly patients with inguinal hernia who underwent laparoscopic inguinal hernia repair in Jingzhou Hospital Affiliated to Yangtze University from December 2023 to May 2024 were selected as the study subjects.The random number table method was used to divide the patients into the control group and the experimental group,with 51 cases in each group.The control group was given propofol TIVA,and the experimental group was given remimazolam TIVA.The anesthetic effect of the two groups was compared.Results:There was no significant difference in mean arterial pressure(MAP)and heart rate(HR)between the two groups at 5 min before anesthesia induction,1 min after anesthesia induction,immediately after endotracheal intubation,immediately after skin incision,immediately after end of anesthesia,immediately after end of surgery,and immediately after endotracheal extubation(P>0.05).There were statistically significant differences in MAP and HR at each time point in the experimental group(P<0.05).There was no significant difference in MAP and HR at each time point in the control group(P>0.05).There was no significant difference in the anesthesia recovery time and post-anesthesia care unit residence time between the two groups(P>0.05).The incidence of hypotension in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidences of sinus arrhythmia,agitation during awakening,injection pain,headache and dizziness,and postoperative nausea and vomiting between the two groups(P>0.05).Conclusion:The application of remimazolam TIVA in elderly patients with inguinal hernia undergoing laparoscopic inguinal hernia repair has a significant effect,and can reduce the occurrence of intraoperative hypotension,help maintain intraopera

关 键 词：瑞马唑仑 丙泊酚 全凭静脉麻醉 腹腔镜下腹股沟疝修补术 

分 类 号：R614[医药卫生—麻醉学]