CAJ | 학술논문

目的：观察瑞芬太尼复合丙泊酚用于宫腔镜手术的麻醉效果。方法：选择宫腔镜手术患者50例，随机均分为瑞芬太尼复合丙泊酚组（R组）和芬太尼复合丙泊酚组（F组）。R组以瑞芬太尼0.1μg/kg·min泵注5 min、F组静脉推注芬太尼1.0μg/kg后两组均继以静脉推注丙泊酚1.5～2.0 mg/kg至患者意识消失，术中泵注丙泊酚4～5 mg/kg·h维持麻醉。分别记录两组患者术前基础值（T0）、麻醉诱导后（T1）、扩张宫颈时（T2）、术毕（T3）各时点的MAP、HR、SpO2及苏醒时间、丙泊酚总用量、恶心、呕吐发生率和术中患者体动反应情况。结果：与T0比较，R组T1时、F组T1、T2时MAP明显降低，HR明显减慢（P＜0.01）；与R组比较，T2时F组MAP明显降低，HR明显减慢（P＜0.01）。R组丙泊酚总用量明显小于F组（P＜0.01）；苏醒时间明显短于F组（P＜0.01）；体动反应明显小于F组（P＜0.01）。结论：瑞芬太尼复合丙泊酚用于宫腔镜术的麻醉效果好且安全可行。
목적：관찰서분태니복합병박분용우궁강경수술적마취효과。방법：선택궁강경수술환자50례，수궤균분위서분태니복합병박분조（R조）화분태니복합병박분조（F조）。R조이서분태니0.1μg/kg·min빙주5 min、F조정맥추주분태니1.0μg/kg후량조균계이정맥추주병박분1.5～2.0 mg/kg지환자의식소실，술중빙주병박분4～5 mg/kg·h유지마취。분별기록량조환자술전기출치（T0）、마취유도후（T1）、확장궁경시（T2）、술필（T3）각시점적MAP、HR、SpO2급소성시간、병박분총용량、악심、구토발생솔화술중환자체동반응정황。결과：여T0비교，R조T1시、F조T1、T2시MAP명현강저，HR명현감만（P＜0.01）；여R조비교，T2시F조MAP명현강저，HR명현감만（P＜0.01）。R조병박분총용량명현소우F조（P＜0.01）；소성시간명현단우F조（P＜0.01）；체동반응명현소우F조（P＜0.01）。결론：서분태니복합병박분용우궁강경술적마취효과호차안전가행。
Objective To observe the effects of remifentanil combined with propofol for anesthesia in hysteroscope operation.Methods 50 patients were randomly divided into hysteroscopic operation,remifentanil combined with propofol group(group R) and fentanyl and propofol group(F group).Group R with remifentanil 0.1μg/kg?min infusion of 5 min,group F intravenous injection of fentanyl 1μg/kg two group were followed by intravenous injection of propofol in 1.5~2 mg/kg to patients lost consciousness,intraoperative infusion of propofol 4~5 mg/kg?h to maintain anesthesia.Record two groups of patients with basal values were (T0),after induction of anesthesia (T1),during cervical dilation (T2),postoperative (T3) at the MAP,HR,SpO2 and recovery time,total dosage of propofol,nausea,vomiting reaction condition of patients and the rate of intraoperative body movement.Results Compared with T0 group,R T1, F T1, T2 MAP decreased significantly,HR significantly decreased (P<0.01);compared with R group,T2 F group had significantly lower MAP,HR decreased significantly(P<0.01).The total amount of propofol R group was obviously less than group F(P<0.01);the recovery time was significantly shorter in the F group(P<0.01);the body was significantly less than the F group(P<0.01).Conclusion Remifentanil Combined with propofol hysteroscopy good and safe and feasibl.