延边医学
延邊醫學
연변의학
YAN BIAN YI XUE
2014年
19期
62-63
,共2页
地佐辛%芬太尼%丙泊酚%无痛取卵
地佐辛%芬太尼%丙泊酚%無痛取卵
지좌신%분태니%병박분%무통취란
dezocine%fentanyl%propofol%painless egg retrieval
目的:观察地佐辛复合丙泊酚输注麻醉应用于无痛取卵术时麻醉的安全性、可行性及有效性。方法:选择湘潭市中心医院2012年到2014年 ASA I-II 级60例无痛取卵术患者,随机双盲地分为2组:A 组(地佐辛复合丙泊酚组,n=30)和 B 组(芬太尼复合丙泊酚组,n=30)。分别观测两组患者手术前、穿刺针进入卵巢时、换边穿刺时及手术后 HR、SPO2、MAP、RR 和术中体动、苏醒时间、视觉模拟评分(VAS),丙泊酚输注的总量、及术后24小时随访患者的满意度。结果:对比于 B 组,A 组患者麻醉苏醒时间明显缩短,术中和术后不良反应发生率较 B 组明显降低,A 组患者术中生命体征更加平稳。结论:地佐辛复合丙泊酚输注组麻醉用于无痛取卵镇痛及镇静效果对比于芬太尼复合丙泊酚输注组更佳,安全性更高,A 组不良反应发生率明显低于 B 组,地佐新复合丙泊酚输注麻醉一种行之有效的无痛麻醉方法。
目的:觀察地佐辛複閤丙泊酚輸註痳醉應用于無痛取卵術時痳醉的安全性、可行性及有效性。方法:選擇湘潭市中心醫院2012年到2014年 ASA I-II 級60例無痛取卵術患者,隨機雙盲地分為2組:A 組(地佐辛複閤丙泊酚組,n=30)和 B 組(芬太尼複閤丙泊酚組,n=30)。分彆觀測兩組患者手術前、穿刺針進入卵巢時、換邊穿刺時及手術後 HR、SPO2、MAP、RR 和術中體動、囌醒時間、視覺模擬評分(VAS),丙泊酚輸註的總量、及術後24小時隨訪患者的滿意度。結果:對比于 B 組,A 組患者痳醉囌醒時間明顯縮短,術中和術後不良反應髮生率較 B 組明顯降低,A 組患者術中生命體徵更加平穩。結論:地佐辛複閤丙泊酚輸註組痳醉用于無痛取卵鎮痛及鎮靜效果對比于芬太尼複閤丙泊酚輸註組更佳,安全性更高,A 組不良反應髮生率明顯低于 B 組,地佐新複閤丙泊酚輸註痳醉一種行之有效的無痛痳醉方法。
목적:관찰지좌신복합병박분수주마취응용우무통취란술시마취적안전성、가행성급유효성。방법:선택상담시중심의원2012년도2014년 ASA I-II 급60례무통취란술환자,수궤쌍맹지분위2조:A 조(지좌신복합병박분조,n=30)화 B 조(분태니복합병박분조,n=30)。분별관측량조환자수술전、천자침진입란소시、환변천자시급수술후 HR、SPO2、MAP、RR 화술중체동、소성시간、시각모의평분(VAS),병박분수주적총량、급술후24소시수방환자적만의도。결과:대비우 B 조,A 조환자마취소성시간명현축단,술중화술후불량반응발생솔교 B 조명현강저,A 조환자술중생명체정경가평은。결론:지좌신복합병박분수주조마취용우무통취란진통급진정효과대비우분태니복합병박분수주조경가,안전성경고,A 조불량반응발생솔명현저우 B 조,지좌신복합병박분수주마취일충행지유효적무통마취방법。
Objective: To study the the security, feasibility and effectiveness of dezocine combined with propofol on painless egg retrieval. Method:60 ASA I-II patients undergoing painless egg retrieval were randomly divided into group A ( propofol combined with dezocine n=30) and group B (propofol combined with fentanyl n=30).SpO2、HR、MAP、respiratory rate (RR) were monitored before operation、the time when puncture needle into the ovary and change side puncture、after operation. Intraoperative body move-ment、awake time、visual analogue scale(VAS) 、fol ow-up of patient satisfaction were also observed. Result:Compared with group B,the recovery time of consciousness and side reactions during operation in group A were much more less and have more stable vital signs. Conclusion:Propofol combined with dezocine have much more exact analgesia and sedation on painless egg retrieval with higher secu-rity and less side reactions compared with propofol combined with fentanyl and is a fesible, effective painless anesthesia.