临床医学工程
臨床醫學工程
림상의학공정
CLINICAL MEDICAL ENGINEERING
2009年
7期
32-33
,共2页
妇科腹腔镜探查术%舒芬太尼%间断推注%靶控输注%苏醒
婦科腹腔鏡探查術%舒芬太尼%間斷推註%靶控輸註%囌醒
부과복강경탐사술%서분태니%간단추주%파공수주%소성
iaparoscopic surgery%sufentanil%discontinuous intravenous-infusion%target control infusion%recovery quality
目的 研究舒芬太尼不同给药模式对妇科腹腔镜病人术后麻醉恢复质量的影响,探讨此类手术舒芬太尼较佳给药模式.方法 选择60例妇科择期行腹腔镜手术患者,ASAⅠ～Ⅱ级,根据舒芬太尼给药模式随机分为两组:Ⅰ组为间断推注给药组,Ⅱ组为血浆靶控给药组.所有患者常规连续监测收缩压(SBP)、舒张压(DBP)、心率(HR)、心电图(ECG)、呼末二氧化碳分压(PetCO2),分别记录两组患者手术时间、舒芬太尼用量、丙泊酚用量、呼吸恢复时间、睁眼时间、拔管时间、出手术时Ramsay镇静评分、VAS评分.结果 Ⅰ组与Ⅱ组相比,舒芬太尼用量明显减少(P<0.05),丙泊酚用量差异两组无统计学意义(P>0.05),患者呼吸恢复时间、睁眼时间、拔管时间Ⅰ组均明显缩短(P<0.05),但出手术室时Ⅱ组Ramsay评分较高(P<0.05),VAS评分两组无统计学意义(P>0.05).结论 舒芬太尼两种常用的给药模式均能较好地应用于妇科腹腔镜病人,间断推注给药病人苏醒更快.
目的 研究舒芬太尼不同給藥模式對婦科腹腔鏡病人術後痳醉恢複質量的影響,探討此類手術舒芬太尼較佳給藥模式.方法 選擇60例婦科擇期行腹腔鏡手術患者,ASAⅠ～Ⅱ級,根據舒芬太尼給藥模式隨機分為兩組:Ⅰ組為間斷推註給藥組,Ⅱ組為血漿靶控給藥組.所有患者常規連續鑑測收縮壓(SBP)、舒張壓(DBP)、心率(HR)、心電圖(ECG)、呼末二氧化碳分壓(PetCO2),分彆記錄兩組患者手術時間、舒芬太尼用量、丙泊酚用量、呼吸恢複時間、睜眼時間、拔管時間、齣手術時Ramsay鎮靜評分、VAS評分.結果 Ⅰ組與Ⅱ組相比,舒芬太尼用量明顯減少(P<0.05),丙泊酚用量差異兩組無統計學意義(P>0.05),患者呼吸恢複時間、睜眼時間、拔管時間Ⅰ組均明顯縮短(P<0.05),但齣手術室時Ⅱ組Ramsay評分較高(P<0.05),VAS評分兩組無統計學意義(P>0.05).結論 舒芬太尼兩種常用的給藥模式均能較好地應用于婦科腹腔鏡病人,間斷推註給藥病人囌醒更快.
목적 연구서분태니불동급약모식대부과복강경병인술후마취회복질량적영향,탐토차류수술서분태니교가급약모식.방법 선택60례부과택기행복강경수술환자,ASAⅠ～Ⅱ급,근거서분태니급약모식수궤분위량조:Ⅰ조위간단추주급약조,Ⅱ조위혈장파공급약조.소유환자상규련속감측수축압(SBP)、서장압(DBP)、심솔(HR)、심전도(ECG)、호말이양화탄분압(PetCO2),분별기록량조환자수술시간、서분태니용량、병박분용량、호흡회복시간、정안시간、발관시간、출수술시Ramsay진정평분、VAS평분.결과 Ⅰ조여Ⅱ조상비,서분태니용량명현감소(P<0.05),병박분용량차이량조무통계학의의(P>0.05),환자호흡회복시간、정안시간、발관시간Ⅰ조균명현축단(P<0.05),단출수술실시Ⅱ조Ramsay평분교고(P<0.05),VAS평분량조무통계학의의(P>0.05).결론 서분태니량충상용적급약모식균능교호지응용우부과복강경병인,간단추주급약병인소성경쾌.
Objective To compare the effects of discontinuous intravenous-infusion and target control infusion of sufentanil on early postoperative recovery quality in patients undergoing laparoscopic surgery in gynecology. Methods Sixty patients (ASA class Ⅰ or Ⅱ) under-going laparoscopic surgery in gynecology were divided into two group: discontinuous group (group Ⅰ , n=30) and target control group (group Ⅱ, n=30). SBP, DBP, HR, PetCO2, the total dosages of sufentanil and propofol during operation were observed; the time of breath recovery, opening the eyes and tracheal extubation were recorded. The VAS and Ramsay scores were also noted when the patients left the opera-tion-room. Results The total dosages ofsufentanil in group II were larger than those in group I , but there was no statistical difference on the propofol dosage between two groups during operative procedure. The time of breath recovery, opening the eyes and tracheal extubation in group Ⅰ were shorter than those in group Ⅱ. Ramsay scores in group Ⅱ were higher than m group Ⅰ , but there was no statistical difference on the VAS between the two groups. Conclusion Both discontinuous intravenous -infusion and target control infusion sufentanii for laparoscopic surgery in gynecology are effective, but the patients in discontinuous group are better for the postoperative recovery quality.
