中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2013年
13期
99-100,110
,共3页
丙泊酚%瑞芬太尼%腹腔镜%宫外孕
丙泊酚%瑞芬太尼%腹腔鏡%宮外孕
병박분%서분태니%복강경%궁외잉
Propofol%Remifentanil%Laparoscope%Ectopic pregnancy
目的探讨丙泊酚联合瑞芬太尼靶控输注在腹腔镜宫外孕手术中的临床效果。方法回顾分析2010年1月～2013年3月我院腹腔镜行宫外孕手术患者120例，随机分为观察组和对照组，每组60例。观察组采用丙泊酚联合瑞芬太尼进行麻醉，对照组采用丙泊酚联合芬太尼进行麻醉。记录患者术中循环系统变化及术后相关情况。结果观察组麻醉后收缩压（SBP）、心率（HR）较麻醉前明显下降，差异有统计学意义（P＜0.05）；观察组在麻醉后、气腹后循环系统波动小于对照组，差异有统计学意义（P＜0.05），观察组术后唤醒时间、苏醒延迟明显优于对照组，差异有统计学意义（P＜0.05）；术后呛咳、躁动及术中知晓两组差异无统计学意义（P＞0.05）。结论丙泊酚联合瑞芬太尼虽在麻醉诱导早期容易出现血压、心率下降，但在气腹后及麻醉中能够维持循环系统的稳定，减少应激反应。
目的探討丙泊酚聯閤瑞芬太尼靶控輸註在腹腔鏡宮外孕手術中的臨床效果。方法迴顧分析2010年1月～2013年3月我院腹腔鏡行宮外孕手術患者120例，隨機分為觀察組和對照組，每組60例。觀察組採用丙泊酚聯閤瑞芬太尼進行痳醉，對照組採用丙泊酚聯閤芬太尼進行痳醉。記錄患者術中循環繫統變化及術後相關情況。結果觀察組痳醉後收縮壓（SBP）、心率（HR）較痳醉前明顯下降，差異有統計學意義（P＜0.05）；觀察組在痳醉後、氣腹後循環繫統波動小于對照組，差異有統計學意義（P＜0.05），觀察組術後喚醒時間、囌醒延遲明顯優于對照組，差異有統計學意義（P＜0.05）；術後嗆咳、躁動及術中知曉兩組差異無統計學意義（P＞0.05）。結論丙泊酚聯閤瑞芬太尼雖在痳醉誘導早期容易齣現血壓、心率下降，但在氣腹後及痳醉中能夠維持循環繫統的穩定，減少應激反應。
목적탐토병박분연합서분태니파공수주재복강경궁외잉수술중적림상효과。방법회고분석2010년1월～2013년3월아원복강경행궁외잉수술환자120례，수궤분위관찰조화대조조，매조60례。관찰조채용병박분연합서분태니진행마취，대조조채용병박분연합분태니진행마취。기록환자술중순배계통변화급술후상관정황。결과관찰조마취후수축압（SBP）、심솔（HR）교마취전명현하강，차이유통계학의의（P＜0.05）；관찰조재마취후、기복후순배계통파동소우대조조，차이유통계학의의（P＜0.05），관찰조술후환성시간、소성연지명현우우대조조，차이유통계학의의（P＜0.05）；술후창해、조동급술중지효량조차이무통계학의의（P＞0.05）。결론병박분연합서분태니수재마취유도조기용역출현혈압、심솔하강，단재기복후급마취중능구유지순배계통적은정，감소응격반응。
Objective To discuss the clinical effect of propofol combined with remifentanil target controlled infusion on laparoscopy ectopic pregnancy. Methods 120 cases of patients who cured by laparoscopic ectopic pregnancy surgery were selected,and divided into the observation group and the control group,60 cases in each group,the observation group used propofol combined with remifentanil for anesthesia,the control group used propofol combined with fentanyl for anesthesia,and then recorded the intraoperative circulation system changes and the postoperative relevant informations. Results The systolic blood pressure(SBP)and heart rate(HR)of the observation group after anesthesia declined compared with that before anesthesia(P < 0.05);the circulatory fluctuation of the observation group was less than the control group after anesthesia and after pneumoperitoneum(P < 0.05);the wake up time and wake up delay of the observation group were better than the control group after surgery(P < 0.05).The postoperative cough,agitation and intraoperative awareness of the two groups had no significant difference(P>0.05). Conclusion Using propofol combined with remifentanil in the early anesthesia induction can lead to a drop in blood pressure and heart rate,but it is able to maintain circulation system stability after pneumoperitoneum and anesthesia,and it can reduce the stress response.
