继续医学教育
繼續醫學教育
계속의학교육
CONTINUING MEDICAL EDUCATION
2014年
7期
50-51
,共2页
瑞芬太尼%芬太尼%宫腔镜
瑞芬太尼%芬太尼%宮腔鏡
서분태니%분태니%궁강경
Remifentanyl%Fentanyl%Hysteroscopy
目的：比较芬太尼复合丙泊酚与瑞芬太尼复合丙泊酚麻醉在宫腔镜诊疗中的应用。方法观察组：瑞芬太尼1μg/kg（30 s左右注射完）+丙泊酚2 mg/kg诱导，术中持续泵注瑞芬太尼0.05μg/（kg·min）和丙泊酚1～2 mg/（kg·h）；对照组：芬太尼2μg/kg（30 s左右注射完）+丙泊酚2 mg/kg诱导，术中全程持续泵注1～2 mg/（kg·h）丙泊酚。对两组进行观察和比较。结果两种麻醉方式均能达到良好的麻醉效果，但后者更能维持血流动力学的稳定性，且术后苏醒更快。结论瑞芬太尼复合丙泊酚用于宫腔镜麻醉更有优势。
目的：比較芬太尼複閤丙泊酚與瑞芬太尼複閤丙泊酚痳醉在宮腔鏡診療中的應用。方法觀察組：瑞芬太尼1μg/kg（30 s左右註射完）+丙泊酚2 mg/kg誘導，術中持續泵註瑞芬太尼0.05μg/（kg·min）和丙泊酚1～2 mg/（kg·h）；對照組：芬太尼2μg/kg（30 s左右註射完）+丙泊酚2 mg/kg誘導，術中全程持續泵註1～2 mg/（kg·h）丙泊酚。對兩組進行觀察和比較。結果兩種痳醉方式均能達到良好的痳醉效果，但後者更能維持血流動力學的穩定性，且術後囌醒更快。結論瑞芬太尼複閤丙泊酚用于宮腔鏡痳醉更有優勢。
목적：비교분태니복합병박분여서분태니복합병박분마취재궁강경진료중적응용。방법관찰조：서분태니1μg/kg（30 s좌우주사완）+병박분2 mg/kg유도，술중지속빙주서분태니0.05μg/（kg·min）화병박분1～2 mg/（kg·h）；대조조：분태니2μg/kg（30 s좌우주사완）+병박분2 mg/kg유도，술중전정지속빙주1～2 mg/（kg·h）병박분。대량조진행관찰화비교。결과량충마취방식균능체도량호적마취효과，단후자경능유지혈류동역학적은정성，차술후소성경쾌。결론서분태니복합병박분용우궁강경마취경유우세。
Objective To compare propofol with fentanyl and propofol with remifentanyl anesthesia for hysteroscopy.MethodsFentanyl 2 μg/kg (About 30 s injection) + propofol 2 mg/kg were applied, subsequently 1~2 mg / (kg?h) propofol was infused continuously intraoperatively throughout the entire operation period, as well as remifentanil 1 μg/kg (About 30 s injection) + propofol 2 mg/kg, subsequently used intraoperative continuous infusion of remifentanil 0.05 μg/ (kg?min) and propofol 1~2 mg/ (kg?h) .ResultsThe anesthetic effects of both techniques were good, but the latter had better maintain hemodynamic stability and demonstrated faster postoperative recovery.Conclusion The useof remifentanil combined with propofol has its advantages in the anesthesia for hysteroscopy.
