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目的:探讨丙泊酚联合舒芬太尼对腹腔镜子宫肌瘤剔除术患者的影响。方法:选取2015年1月-2016年12月在我院就诊的180例腹腔镜子宫肌瘤剔除术患者,随机分为观察组(丙泊酚+舒芬太尼)和对照组(丙泊酚)各90例。对比两组术后镇痛效果、麻醉起效时间、睁眼时间、自主呼吸恢复时间、定向力恢复时间和Ramsay镇静评分。结果:观察组优良率95.56%显著高于对照组70.00%(P<0.05)。两组麻醉起效时间比较,差异无统计学意义(P>0.05)。观察组睁眼时间、自主呼吸恢复时间和定向力恢复时间均显著短于对照组(P<0.05),Ramsay镇静评分显著高于对照组(P<0.05)。结论:丙泊酚联合舒芬太尼对腹腔镜子宫肌瘤剔除术患者的麻醉效果较好,值得临床推广。
Objective: To investigate the effect of propofol combined with sufentanil on patients with laparoscopic myomectomy. Methods: 180 patients with laparoscopic myomectomy who were treated in our hospital from January 2015 to December 2016 were randomly divided into observation group (propofol + sufentanil) and control group (propofol ) 90 cases each. The analgesic effect, anesthesia onset time, eye open time, spontaneous breathing recovery time, recovery time of orientational force and Ramsay sedation score were compared between the two groups. Results: The excellent and good rate in the observation group was 95.56%, which was significantly higher than that in the control group (70.00%, P <0.05). There was no significant difference in the onset time of anesthesia between the two groups (P> 0.05). The open eye time, spontaneous breathing recovery time and recovery time of the directional force in the observation group were significantly shorter than those in the control group (P <0.05), and the Ramsay sedation score was significantly higher than that in the control group (P <0.05). Conclusion: Propofol combined with sufentanil has a good anesthetic effect in patients undergoing laparoscopic myomectomy, which is worthy of clinical promotion.