中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
4期
41-43
,共3页
李玉梅%安玉娟%周刚%刘显宾
李玉梅%安玉娟%週剛%劉顯賓
리옥매%안옥연%주강%류현빈
地佐辛%舒芬太尼%七氟烷%宫腔镜电切术
地佐辛%舒芬太尼%七氟烷%宮腔鏡電切術
지좌신%서분태니%칠불완%궁강경전절술
Dezocine%Sufentanil%Sevoflurane%Hysteroscope electrotomy
目的 探讨地佐辛与舒芬太尼用于宫腔镜电切术麻醉的临床效果.方法 选择宫腔镜电切术患者30例(ASA Ⅰ～Ⅱ级),随机分为地佐辛+七氟烷组(A组)和舒芬太尼+七氟烷组(B组),每组15例.手术操作前10 min A组一次性匀速泵注地佐辛1.5 μg/kg,B组一次性匀速泵注舒芬太尼0.15 μg/kg,两组注药时间均持续5 min,均以诱导浓度为5％七氟烷和5 L/min氧流量快速诱导,待患者意识消失后用2％七氟烷和3 L/min氧流量吸入维持麻醉,记录麻醉开始前(T0)、吸入麻醉后2 min(T1)、扩宫颈时(T2)、术毕清醒时(T3)、清醒后5min(T4)时平均动脉压(MAP)、心率(HR)、脉搏氧饱和度(Sp02),记录麻醉起效时间、意识恢复时间、术中体动和呼吸抑制情况;观察术后清醒时间、VAS评分及不良反应情况.结果 T0、T1、T3两组MAP、SpO2比较差异无统计学意义(P＞0.05),B组T2时MAP、HR与A组比较差异有统计学意义(P＜0.05),A组术中体动发生率明显少于B组(P＜0.05),A组清醒时间明显短于B组(P＜0.05),A组术后宫缩痛、恶心呕吐发生率明显少于B组(P＜0.05).结论 地佐辛或舒芬太尼复合七氟烷吸入用于宫腔镜电切术麻醉效果相似,但地佐辛复合七氟烷吸入用于宫腔镜电切术麻醉效果更佳.
目的 探討地佐辛與舒芬太尼用于宮腔鏡電切術痳醉的臨床效果.方法 選擇宮腔鏡電切術患者30例(ASA Ⅰ～Ⅱ級),隨機分為地佐辛+七氟烷組(A組)和舒芬太尼+七氟烷組(B組),每組15例.手術操作前10 min A組一次性勻速泵註地佐辛1.5 μg/kg,B組一次性勻速泵註舒芬太尼0.15 μg/kg,兩組註藥時間均持續5 min,均以誘導濃度為5％七氟烷和5 L/min氧流量快速誘導,待患者意識消失後用2％七氟烷和3 L/min氧流量吸入維持痳醉,記錄痳醉開始前(T0)、吸入痳醉後2 min(T1)、擴宮頸時(T2)、術畢清醒時(T3)、清醒後5min(T4)時平均動脈壓(MAP)、心率(HR)、脈搏氧飽和度(Sp02),記錄痳醉起效時間、意識恢複時間、術中體動和呼吸抑製情況;觀察術後清醒時間、VAS評分及不良反應情況.結果 T0、T1、T3兩組MAP、SpO2比較差異無統計學意義(P＞0.05),B組T2時MAP、HR與A組比較差異有統計學意義(P＜0.05),A組術中體動髮生率明顯少于B組(P＜0.05),A組清醒時間明顯短于B組(P＜0.05),A組術後宮縮痛、噁心嘔吐髮生率明顯少于B組(P＜0.05).結論 地佐辛或舒芬太尼複閤七氟烷吸入用于宮腔鏡電切術痳醉效果相似,但地佐辛複閤七氟烷吸入用于宮腔鏡電切術痳醉效果更佳.
목적 탐토지좌신여서분태니용우궁강경전절술마취적림상효과.방법 선택궁강경전절술환자30례(ASA Ⅰ～Ⅱ급),수궤분위지좌신+칠불완조(A조)화서분태니+칠불완조(B조),매조15례.수술조작전10 min A조일차성균속빙주지좌신1.5 μg/kg,B조일차성균속빙주서분태니0.15 μg/kg,량조주약시간균지속5 min,균이유도농도위5％칠불완화5 L/min양류량쾌속유도,대환자의식소실후용2％칠불완화3 L/min양류량흡입유지마취,기록마취개시전(T0)、흡입마취후2 min(T1)、확궁경시(T2)、술필청성시(T3)、청성후5min(T4)시평균동맥압(MAP)、심솔(HR)、맥박양포화도(Sp02),기록마취기효시간、의식회복시간、술중체동화호흡억제정황;관찰술후청성시간、VAS평분급불량반응정황.결과 T0、T1、T3량조MAP、SpO2비교차이무통계학의의(P＞0.05),B조T2시MAP、HR여A조비교차이유통계학의의(P＜0.05),A조술중체동발생솔명현소우B조(P＜0.05),A조청성시간명현단우B조(P＜0.05),A조술후궁축통、악심구토발생솔명현소우B조(P＜0.05).결론 지좌신혹서분태니복합칠불완흡입용우궁강경전절술마취효과상사,단지좌신복합칠불완흡입용우궁강경전절술마취효과경가.
Objective To investigate the clinical effect of dezocine and sufentanil anesthesia on hysteroscopic electrotomy.Methods Thirty patients with hysteroscope electrotomy(ASA Ⅰ-Ⅱ stage) were randomly divided into dezocine + sevoflurane group (group A) and sufentanil + sevoflurane group (group B),15 cases in each group.Ten minutes before the operative procedure,dezocine 1.5 μg/kg was pumped with an equal speed in group A,and sufentanil 0.15 μg/kg was pumped with an equal speed in group B,the injection times lasted for 5 min,were rapidly induced with concentration 5％ sevoflurane and 5 L/min oxygen flow,until the patient lost consciousness,was maintained with 2％ sevoflurane anesthesia and oxygen flow 3 L/min.MAP,HR,SpO2 was recorded before the start of anesthesia(T0),2 min after inhalation anesthesia (T1),expanding the cervix (T2),awake after surgery (T3),5 min after awake (T4),and the onset time of anesthesia,consciousness recovery time,intraoperative body movement and respiratory inhibition,intraoperative VAS score after the awake time and adverse reactions were observed.Results There were no significant differences in MAP,SpO2 at T0,T1,T3 between the two groups (P ＞ 0.05) ; There were significant differences in MAP,HR at T2 between the two groups (P ＜ 0.05) ; Intraoperative body movement was significantly less in group A than that in group B (P ＜ 0.05),the recovery time was significantly shorter in group A than that in group B (P ＜ 0.05) ;The postoperative uterine pain,incidence of nausea and vomiting was significantly less than that in group B (P ＜ 0.05).Conclusions Dezocine with sufentanil sevoflurane anesthesia for hysteroscopic resection has similar effect,but dezocine combined with sevoflurane anesthesia for hysteroscopic surgery is better.
