七氟醚在内镜下结直肠息肉摘除术中的应用
|
摘要
为观察七氟醚在内镜下结直肠息肉摘除术中的麻醉效果,将90例结直肠息肉患者随机分为七氟醚组和丙泊酚组,每组45例。七氟醚组采用七氟醚麻醉,丙泊酚组采用丙泊酚麻醉,比较2组患者麻醉效果。结果显示,七氟醚组总有效率高于丙泊酚组(P <0.05);麻醉前2组患者生命体征心率、呼吸频率以及平均动脉压无显著性差异(P>0.05),术中2组患者生命体征心率、平均动脉压均在正常范围内,无统计学差异(P>0.05);而七氟醚组呼吸频率优于丙泊酚组(P <0.05);七氟醚组苏醒时间、意识消失时间以及恢复定向力时间均短于丙泊酚组(P <0.05);七氟醚组头晕以及认知功能障碍发生率均低于丙泊酚组(P <0.05)。结果表明,七氟醚麻醉在内镜下结直肠息肉摘除术中效果确切,可更好地维持动力学指标稳定和减少头晕以及认知功能障碍的发生,可缩短苏醒时间、意识消失时间以及恢复定向力时间。
This study was to observe the anesthesia efficacy of sevoflurane in endoscopic enucleation of colorectal polyposis,randomly divided 90 patients with colorectal polyposis into sevoflurane group(45 cases,adopted sevoflurane for anesthesia)and propofol group(45 cases,adopted propofol as anesthesia),and compared both anesthesia efficacy.As results,before anesthesia in heart rate,respiratory frequency and average arterial BP,there was no statistical difference between the two groups(P >0.05);during anesthesia sevoflurane group was superior to propofol group(P <0.05)in respiratory frequency,but in heart rate and average arterial BP there was no statistical difference between the two groups(P >0.05).In total effective rate;as well as in the time of emergence,of consciousness disappeared and of orientation recovered;as well as in the incidence of dizziness,of cognitive function disorder sevoflarane group was respectively higher,shorter,as well as lower than propofol group(all,P <0.05).Results show that the anesthesia efficacy of sevoflurane is certain,can better maintain dynamic indexes stable,and reduce the incidence of dizziness and cognitive function disorder,shorten the time of emergence,of consciousness disappeared,and of orientation recovered.
This study was to observe the anesthesia efficacy of sevoflurane in endoscopic enucleation of colorectal polyposis,randomly divided 90 patients with colorectal polyposis into sevoflurane group(45 cases,adopted sevoflurane for anesthesia)and propofol group(45 cases,adopted propofol as anesthesia),and compared both anesthesia efficacy.As results,before anesthesia in heart rate,respiratory frequency and average arterial BP,there was no statistical difference between the two groups(P >0.05);during anesthesia sevoflurane group was superior to propofol group(P <0.05)in respiratory frequency,but in heart rate and average arterial BP there was no statistical difference between the two groups(P >0.05).In total effective rate;as well as in the time of emergence,of consciousness disappeared and of orientation recovered;as well as in the incidence of dizziness,of cognitive function disorder sevoflarane group was respectively higher,shorter,as well as lower than propofol group(all,P <0.05).Results show that the anesthesia efficacy of sevoflurane is certain,can better maintain dynamic indexes stable,and reduce the incidence of dizziness and cognitive function disorder,shorten the time of emergence,of consciousness disappeared,and of orientation recovered.
引文
[1]刘永峰,袁友红,邢祖民.喉罩通气七氟醚吸入全麻与丙泊酚静脉全麻用于支气管镜检查的效果比较[J].广东医学,2012,33(9):1277-1279.
[2]胡义凤,张利东,罗伟,等.七氟醚与丙泊酚麻醉对心内直视手术患者应激反应的影响[J].临床麻醉学杂志,2012,28(4):346-348.
[3]龚拯,马利,梁宁,等.快通道麻醉在老年腹腔镜结直肠肿瘤手术中的临床应用[J].微创医学,2013,8(1):4-7.
[4]岑晴云,王晟,佘守章.七氟醚全凭吸入麻醉对体外循环下心脏瓣膜置换术患者心肌酶的影响[J].临床麻醉学杂志,2013,29(6):535-537.
[5]马良,汪亚宏.七氟醚及丙泊酚对老年结肠癌根治术患者血液流变学及凝血功能的影响[J].结直肠肛门外科,2018,24(1):74-77.
[6]周日华,李家新.七氟醚吸入麻醉应用于老年患者经直肠前列腺穿刺活检术的安全性分析及对术后短期认知功能的影响[J].武警后勤学院学报(医学版),2017,26(12):1063-1067.
[7]洪跃飞.七氟醚复合丙泊酚麻醉方式对老年腹腔镜胆囊切除术患者术后认知功能的影响[J].中国当代医药,2015,22(35):118-120.
[8]罗卫,覃秀梅.丙泊酚复合七氟醚与全凭七氟醚对小儿麻醉苏醒期躁动的疗效比较[J].深圳中西医结合杂志,2015,25(23):10-11.
[9]丁海燕.探讨七氟醚丙泊酚复合麻醉对于老年胃癌患者术后早期认知功能的影响[J].世界最新医学信息文摘(电子版),2016,16(39):94,98.
[10]李倩,李荣,毛洪雅,等.七氟醚吸入麻醉在老年患者经直肠前列腺穿刺活检术中的应用[J].临床麻醉学杂志,2016,32(10):966-968.
[2]胡义凤,张利东,罗伟,等.七氟醚与丙泊酚麻醉对心内直视手术患者应激反应的影响[J].临床麻醉学杂志,2012,28(4):346-348.
[3]龚拯,马利,梁宁,等.快通道麻醉在老年腹腔镜结直肠肿瘤手术中的临床应用[J].微创医学,2013,8(1):4-7.
[4]岑晴云,王晟,佘守章.七氟醚全凭吸入麻醉对体外循环下心脏瓣膜置换术患者心肌酶的影响[J].临床麻醉学杂志,2013,29(6):535-537.
[5]马良,汪亚宏.七氟醚及丙泊酚对老年结肠癌根治术患者血液流变学及凝血功能的影响[J].结直肠肛门外科,2018,24(1):74-77.
[6]周日华,李家新.七氟醚吸入麻醉应用于老年患者经直肠前列腺穿刺活检术的安全性分析及对术后短期认知功能的影响[J].武警后勤学院学报(医学版),2017,26(12):1063-1067.
[7]洪跃飞.七氟醚复合丙泊酚麻醉方式对老年腹腔镜胆囊切除术患者术后认知功能的影响[J].中国当代医药,2015,22(35):118-120.
[8]罗卫,覃秀梅.丙泊酚复合七氟醚与全凭七氟醚对小儿麻醉苏醒期躁动的疗效比较[J].深圳中西医结合杂志,2015,25(23):10-11.
[9]丁海燕.探讨七氟醚丙泊酚复合麻醉对于老年胃癌患者术后早期认知功能的影响[J].世界最新医学信息文摘(电子版),2016,16(39):94,98.
[10]李倩,李荣,毛洪雅,等.七氟醚吸入麻醉在老年患者经直肠前列腺穿刺活检术中的应用[J].临床麻醉学杂志,2016,32(10):966-968.