CAJ | 학술논문

目的：评价门诊输卵管造影术中使用丙泊酚复合瑞芬太尼实施麻醉的临床效果及安全性。方法：选择拟行输卵管造影手术患者100例，ASA分级Ⅰ-Ⅱ级，随机分成A、B两组，A组丙泊酚复合瑞芬太尼组（n=50），B组丙泊酚复合芬太尼组（n=50），观察术中意识消失时间、呼吸抑制情况、患者配合程度、丙泊酚用量、苏醒时间及麻醉效果，并记录患者麻醉前、诱导后5min、手术开始后5min、清醒后5min时患者的基本生命体征（平均动脉压MAP、心率HR、呼吸频率RR、脉搏氧饱和度 SPO2）；结果：A组意识消失时间、苏醒时间、异丙酚用量小于 B组（ P<0.05）；术中患者配合程度麻醉效果A组优于B组（P<0.05）；诱导前后心率、呼吸抑制、平均动脉压差异比较，两组间无统计学意义（P>0.05）。结论：小剂量丙泊酚复合瑞芬太尼较小剂量丙泊酚复合芬太尼更适合门诊输卵管造影手术麻醉的需要。
목적：평개문진수란관조영술중사용병박분복합서분태니실시마취적림상효과급안전성。방법：선택의행수란관조영수술환자100례，ASA분급Ⅰ-Ⅱ급，수궤분성A、B량조，A조병박분복합서분태니조（n=50），B조병박분복합분태니조（n=50），관찰술중의식소실시간、호흡억제정황、환자배합정도、병박분용량、소성시간급마취효과，병기록환자마취전、유도후5min、수술개시후5min、청성후5min시환자적기본생명체정（평균동맥압MAP、심솔HR、호흡빈솔RR、맥박양포화도 SPO2）；결과：A조의식소실시간、소성시간、이병분용량소우 B조（ P<0.05）；술중환자배합정도마취효과A조우우B조（P<0.05）；유도전후심솔、호흡억제、평균동맥압차이비교，량조간무통계학의의（P>0.05）。결론：소제량병박분복합서분태니교소제량병박분복합분태니경괄합문진수란관조영수술마취적수요。
Objective:assess the effect and safety of remifentanil combined propofol in salpingogarphy surgery for outpatients. Methods: one hurdered patients who undergoing salpingogarphy surgery and ASA grade was ⅠorⅡwere randomly divided into 2 groups:Group A (n=50):propofol combined remifentanil; Group B (n=50):propofol combine fentanyl. Record the time when consciousness vanished, respiratory depression cooperation degree of the patients the total dosage of propofol, recovery time and the effect of anesthesia; at the same time, recode the patients basic vital signs ( MAP. HR. RR. SPO2) at time point as follows:preanesthesia, 5minutes after the beginning of surgery, 5minutes after the patients revived. Results:The time when consciousness vanished, recovery time, and total dosage of propofol in group A were shorter than group B(p<0.05);cooperation degree of the patients in group A were much better than group B (p<0.05), the difference of HR MAP respiratory depression between 2 groups have no statistically significance (p>0.05).Conclusion: low dose propofol combine remifentani is more suitable for outpatients who undergoing salpingogarphy surgery compared with low dose propofol combine fentanyl.