医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
12期
41-42
,共2页
舒芬太尼%芬太尼%腹腔镜子宫切除术%全麻%苏醒期躁动
舒芬太尼%芬太尼%腹腔鏡子宮切除術%全痳%囌醒期躁動
서분태니%분태니%복강경자궁절제술%전마%소성기조동
Sufentanil%Fentanyl%Anesthesia general%Emergence agitation%laparoscopic hysterectomy
目的：比较舒芬太尼和芬太尼对腹腔镜子宫切除术全麻苏醒期躁动的影响。方法择期全麻下行腹腔镜子宫切除术病人40例，随机分为舒芬太尼组（S组）和芬太尼组（F组），每组20例。S组病人予丙泊酚、舒芬太尼、阿曲库铵和七氟烷麻醉；F组病人予芬太尼麻醉，其余同S组。记录苏醒时（T1）、拔管时（T2）、拔管后5min（T3）、10min（T4）和30min（T5）的Riker镇静躁动评分(SAS)和T3、T4和T5的VAS评分；记录舒芬太尼和芬太尼用量；记录苏醒时间、拔管时间和术后6h恶心呕吐发生率。结果 SAS评分比较，S组在T1、T2、T3和T4时低于F组(P<0.05)；VAS评分比较，S组在T3、T4和T5低于F组(P<0.05)；S组的镇痛药用量、苏醒时间和拔管时间均低于F组(P<0.05)；两组术后6h恶心呕吐发生率比较差异无统计学意义(P>0.05)。结论舒芬太尼比芬太尼更能有效地预防腹腔镜子宫切除术全麻苏醒期的躁动，减少苏醒和拔管时间。
目的：比較舒芬太尼和芬太尼對腹腔鏡子宮切除術全痳囌醒期躁動的影響。方法擇期全痳下行腹腔鏡子宮切除術病人40例，隨機分為舒芬太尼組（S組）和芬太尼組（F組），每組20例。S組病人予丙泊酚、舒芬太尼、阿麯庫銨和七氟烷痳醉；F組病人予芬太尼痳醉，其餘同S組。記錄囌醒時（T1）、拔管時（T2）、拔管後5min（T3）、10min（T4）和30min（T5）的Riker鎮靜躁動評分(SAS)和T3、T4和T5的VAS評分；記錄舒芬太尼和芬太尼用量；記錄囌醒時間、拔管時間和術後6h噁心嘔吐髮生率。結果 SAS評分比較，S組在T1、T2、T3和T4時低于F組(P<0.05)；VAS評分比較，S組在T3、T4和T5低于F組(P<0.05)；S組的鎮痛藥用量、囌醒時間和拔管時間均低于F組(P<0.05)；兩組術後6h噁心嘔吐髮生率比較差異無統計學意義(P>0.05)。結論舒芬太尼比芬太尼更能有效地預防腹腔鏡子宮切除術全痳囌醒期的躁動，減少囌醒和拔管時間。
목적：비교서분태니화분태니대복강경자궁절제술전마소성기조동적영향。방법택기전마하행복강경자궁절제술병인40례，수궤분위서분태니조（S조）화분태니조（F조），매조20례。S조병인여병박분、서분태니、아곡고안화칠불완마취；F조병인여분태니마취，기여동S조。기록소성시（T1）、발관시（T2）、발관후5min（T3）、10min（T4）화30min（T5）적Riker진정조동평분(SAS)화T3、T4화T5적VAS평분；기록서분태니화분태니용량；기록소성시간、발관시간화술후6h악심구토발생솔。결과 SAS평분비교，S조재T1、T2、T3화T4시저우F조(P<0.05)；VAS평분비교，S조재T3、T4화T5저우F조(P<0.05)；S조적진통약용량、소성시간화발관시간균저우F조(P<0.05)；량조술후6h악심구토발생솔비교차이무통계학의의(P>0.05)。결론서분태니비분태니경능유효지예방복강경자궁절제술전마소성기적조동，감소소성화발관시간。
Objective To compare the effect of sufentanil and fentanyl on emergence agitation after general anesthesia in patients undergoing laparoscopic hysterectomy. Methods 40 patients scheduled to undergo laparoscopic hysterectomy were randomly divided into two groups (n = 20each): the sufentanil group (group S) and the fentanyl group (group F). Patients received sufentanil, propofol, atracurium and sevoflurane in group S, while received fentanyl, propofol, atracurium and sevoflurane in group F. Riker sedation-agitation scale (SAS) were recorded at opening eyes, extubation, 5, 10, 30 min after extubation. VAS were recorded at 5,10,30 min after extubation. Dosage of sufentanil and fentanyl, opening eyes time, extubation time, nausea and vomiting in 6 h after operation were recorded. Results SAS were reduced at opening eyes, extubation, 5, and 10 min after extubation in group S compared with group F (P<0.05). VAS were reduced at 5, 10 and 30 min after extubation in group S compared with group F (P<0.05). Dosage of anagesic, opening eyes time and extubation time were reduced in group S compared with group F (P<0.05).No differences were found with nausea and vomiting in 6 h after operation among two groups (P>0.05). Conclusion Sufentanil can achieve better effects on reducing emergence agitation after general anesthesia in patients undergoing laparoscopic hysterectomy.
