静吸复合麻醉与全凭静脉麻醉在妇科腹腔镜手术患者中的麻醉效果对比
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摘要
目的比较静吸复合麻醉与全凭静脉麻醉在妇科腹腔镜手术患者中的麻醉效果,为妇科腹腔镜手术麻醉方式的选择提供临床指导。方法于2015年9月~2017年9月,选取我院收治的90例妇科腹腔镜手术患者,将其随机分为对照组、试验组,每组45例。对照组患者给予静吸复合麻醉,试验组患者给予全凭静脉麻醉。比较两组患者的麻醉效果、血流动力学指标及术后不良反应发生情况。结果试验组的麻醉起效时间、睁眼时间和拔管时间明显短于对照组(P<0.05)。试验组术中的收缩压、舒张压和心率等血流动力学指标稳定性明显优于对照组(P<0.05)。试验组的术后不良反应总发生率明显低于对照组(P<0.05)。结论静吸复合麻醉与全凭静脉麻醉应用于妇科腹腔镜手术患者,全凭静脉麻醉的临床效果更理想,血流动力学指标更稳定,安全性更高,值得临床推广应用。
Objective To compare the anesthetic effect of intravenous inhalational anesthesia and total intravenous anesthesia in patients with gynecologic laparoscopic surgery to provide the clinical guidance on the selection of the anesthesia methods of gynecologic laparoscopic surgery.Methods 90 patients receiving the gynecological laparoscopic surgery treated in our hospital from September 2015 to September 2017 were selected and they were randomly divided into the control group(n=45) and experimental group(n=45).Patients in the control group were given intravenous inhalational anesthesia,while patients the experimental group were given total intravenous anesthesia.The anesthetic effect,hemodynamics indexes and the incidence of adverse reaction after operation were compared in patients between the two groups.Results The onset time of anesthesia,opening time and extubation time in the experimental group were significantly shorter than those of the control group(P<0.05).The hemodynamics index of SBP,DBP and heart rate and son on in the experimental group were significantly better than those of the control group(P<0.05).The total incidence of postoperative adverse reactions in the experimental group was significantly lower than that in the control group(P<0.05).Conclusion Compared with the intravenous inhalational anesthesia,the total intravenous anesthesia has an more ideal anesthetic effect in patients with gynecologic laparoscopic surgery,and the hemodynamics index is more stable,the safety is higher.It is worthy of clinical promotion and application.
Objective To compare the anesthetic effect of intravenous inhalational anesthesia and total intravenous anesthesia in patients with gynecologic laparoscopic surgery to provide the clinical guidance on the selection of the anesthesia methods of gynecologic laparoscopic surgery.Methods 90 patients receiving the gynecological laparoscopic surgery treated in our hospital from September 2015 to September 2017 were selected and they were randomly divided into the control group(n=45) and experimental group(n=45).Patients in the control group were given intravenous inhalational anesthesia,while patients the experimental group were given total intravenous anesthesia.The anesthetic effect,hemodynamics indexes and the incidence of adverse reaction after operation were compared in patients between the two groups.Results The onset time of anesthesia,opening time and extubation time in the experimental group were significantly shorter than those of the control group(P<0.05).The hemodynamics index of SBP,DBP and heart rate and son on in the experimental group were significantly better than those of the control group(P<0.05).The total incidence of postoperative adverse reactions in the experimental group was significantly lower than that in the control group(P<0.05).Conclusion Compared with the intravenous inhalational anesthesia,the total intravenous anesthesia has an more ideal anesthetic effect in patients with gynecologic laparoscopic surgery,and the hemodynamics index is more stable,the safety is higher.It is worthy of clinical promotion and application.
引文
[1]孙波娜,舒恋婷.腹腔镜手术和开腹手术治疗妇科急腹症的效果分析[J].中国妇幼健康研究,2017,28(S1):375-376.
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[9]孟佳骝,邹燕芳,杨武.两种麻醉方法对妇科腹腔镜手术患者应激相关激素的影响[J].中国现代医生,2014,52(19):62-64.
[10]郝玉苓.静吸复合麻醉与全凭静脉麻醉在小儿腹腔镜手术中的应用对比分析[J].中国现代医学杂志,2016,26(8):84-86.
[11]陈乃葆,张岩,朱苗苗,等.氢吗啡酮应用于妇科腹腔镜手术超前镇痛的效果[J].中国现代医生,2016,54(24):135-137.
[12]郭波,陈晓燕.老年妇科腹腔镜手术麻醉中静吸复合麻醉与全凭静脉麻醉的效果对比[J].中国老年学杂志,2017,37(5):1192-1194.
[13]高丽君,沈虹春,戎小平.两种全麻方式下二氧化碳气腹对老年妇科手术患者脑电双频指数和氧代谢的影响[J].浙江医学,2015,37(11):945-947.
[14]戴海新.全凭静脉麻醉和静吸复合麻醉在小儿腹腔镜手术中应用对比研究[J].中国校医,2017,31(7):544,546.
[15]王晓锋.七氟烷或丙泊酚复合舒芬太尼全麻用于妇科腹腔镜手术的比较[J].中国处方药,2016,14(7):10-12.
[2]王丽红.妇科急腹症腹腔镜与开腹手术的临床应用效果分析[J].中国实用医药,2013,8(24):63-64.
[3]梁伟.Supreme双管喉罩与气管插管在妇科腹腔镜手术麻醉中的比较[J].中国医学创新,2017,14(2):49-53.
[4]王玉群,崔虹,关建红,等.两种麻醉方法在腹腔镜妇科手术中的效果比较[J].中国妇幼保健,2007,22(20):2880-2881.
[5]姚月荣,王秀琴.妇科腹腔镜技术并发症及其术后护理[J].齐齐哈尔医学院学报,2017,38(15):1841-1843.
[6]赵元奎.瑞芬太尼联合丙泊酚静脉麻醉用于妇科腹腔镜手术50例[J].中国药业,2014,23(13):78-80.
[7]张尚民,刘强,张丽,等.瑞芬太尼及丙泊酚静脉复合麻醉在妇科腹腔镜手术中的应用[J].中国当代医药,2013,19(23):134-145.
[8]施丽娟,罗慧君,沈逸飞.不同全身麻醉方式在腹腔镜手术中应用效果的比较[J].中国当代医药,2015,22(18):44-47.
[9]孟佳骝,邹燕芳,杨武.两种麻醉方法对妇科腹腔镜手术患者应激相关激素的影响[J].中国现代医生,2014,52(19):62-64.
[10]郝玉苓.静吸复合麻醉与全凭静脉麻醉在小儿腹腔镜手术中的应用对比分析[J].中国现代医学杂志,2016,26(8):84-86.
[11]陈乃葆,张岩,朱苗苗,等.氢吗啡酮应用于妇科腹腔镜手术超前镇痛的效果[J].中国现代医生,2016,54(24):135-137.
[12]郭波,陈晓燕.老年妇科腹腔镜手术麻醉中静吸复合麻醉与全凭静脉麻醉的效果对比[J].中国老年学杂志,2017,37(5):1192-1194.
[13]高丽君,沈虹春,戎小平.两种全麻方式下二氧化碳气腹对老年妇科手术患者脑电双频指数和氧代谢的影响[J].浙江医学,2015,37(11):945-947.
[14]戴海新.全凭静脉麻醉和静吸复合麻醉在小儿腹腔镜手术中应用对比研究[J].中国校医,2017,31(7):544,546.
[15]王晓锋.七氟烷或丙泊酚复合舒芬太尼全麻用于妇科腹腔镜手术的比较[J].中国处方药,2016,14(7):10-12.