论文部分内容阅读
目的探讨舒芬太尼联合丙泊酚麻醉在腹腔镜子宫肌瘤剔除术中的效果。方法选取2015年1月至2016年7月间在海南省海口市妇幼保健院行腹腔镜下子宫肌瘤剔除术治疗的124例子宫肌瘤患者为研究对象,采用掷硬币法随机分成观察组和对照组,每组62例。观察组患者采用舒芬太尼联合丙泊酚麻醉,对照组患者采用瑞芬太尼联合丙泊酚麻醉,对比不同麻醉下,两组患者腹腔镜子宫肌瘤剔除术治疗后的临床疗效以及不良反应发生情况。结果观察组患者的总有效率(98.4%)高于对照组患者的总有效率(72.6%),对照组患者的自主呼吸恢复时间(12.85±3.01)min、拔管时间(22.66±4.98)min、苏醒时间(14.02±1.55)min以及血浆黏度(7.37±0.89)m Pa.s多于观察组患者的自主呼吸恢复时间(7.22±3.08)min、拔管时间(15.88±3.98)min、苏醒时间(8.99±1.47)min以及血浆黏度(5.99±0.77)m Pa.s,且观察组患者术后并发症总发生率(3.2%)低于对照组患者术后并发症总发生率(29.0%),差异均有统计学意义(均P<0.05)。结论腹腔镜下子宫肌瘤剔除术患者术中采用舒芬太尼与丙泊酚联合麻醉的效果较好,值得在临床推广应用。
Objective To investigate the effect of sufentanil combined with propofol anesthesia in laparoscopic myomectomy. Methods A total of 124 patients with uterine leiomyoma treated by laparoscopic myomectomy in Haikou MCH from January 2015 to July 2016 were selected and randomly divided into observation group Control group, 62 cases in each group. Patients in the observation group were treated with sufentanil combined with propofol, and patients in the control group were treated with remifentanil combined with propofol. The clinical efficacy and adverse effects of laparoscopic myomectomy were compared between the two groups under different anesthesia Reaction occurred. Results The total effective rate (98.4%) in the observation group was higher than that in the control group (72.6%), that in the control group (12.85 ± 3.01) min and that in the control group (22.66 ± 4.98) min , Recovery time (14.02 ± 1.55) min and plasma viscosity (7.37 ± 0.89) m Pa.s were significantly higher than those in observation group (7.22 ± 3.08) min, extubation time (15.88 ± 3.98) min, (8.99 ± 1.47) min, and plasma viscosity (5.99 ± 0.77) m Pa.s. The total postoperative complication rate (3.2%) in the observation group was lower than that in the control group (29.0%) , The differences were statistically significant (all P <0.05). Conclusion Laparoscopic myomectomy patients with intraoperative sufentanil and propofol anesthesia is better, it is worth in the clinical application.