CAJ | 학술논문

目的：对比瑞芬太尼或舒芬太尼全凭麻醉应用于妇科腹腔镜手术的麻醉特点。方法选择妇科腹腔镜手术患者80例，分为2组，瑞芬组40例实施全凭瑞芬太尼静脉麻醉，舒芬组40例实施全凭舒芬太尼静脉麻醉，比较2组在诱导前、诱导后、插管、气腹、术毕5个阶段心率、平均动脉压的变化情况，记录2组在苏醒时间、拔管时间、术后24 h疼痛、排气时间及术后并发症等方面的差异。结果患者心率、平均动脉压变化趋势和幅度无明显差别(P>0.05)，患者苏醒时间、拔管时间瑞芬组优于舒芬组(P<0.01)，术后24 h疼痛舒芬组较瑞芬组轻(P<0.01)，排气时间、不良反应无明显差异(P>0.05)。结论舒芬太尼和瑞芬太尼用于妇科腹腔镜手术均能取得良好的麻醉效果，两者对血流动力学的影响基本一致，瑞芬太尼在恢复方面优于舒芬太尼，而舒芬太尼具有更强的术后镇痛。
목적：대비서분태니혹서분태니전빙마취응용우부과복강경수술적마취특점。방법선택부과복강경수술환자80례，분위2조，서분조40례실시전빙서분태니정맥마취，서분조40례실시전빙서분태니정맥마취，비교2조재유도전、유도후、삽관、기복、술필5개계단심솔、평균동맥압적변화정황，기록2조재소성시간、발관시간、술후24 h동통、배기시간급술후병발증등방면적차이。결과환자심솔、평균동맥압변화추세화폭도무명현차별(P>0.05)，환자소성시간、발관시간서분조우우서분조(P<0.01)，술후24 h동통서분조교서분조경(P<0.01)，배기시간、불량반응무명현차이(P>0.05)。결론서분태니화서분태니용우부과복강경수술균능취득량호적마취효과，량자대혈류동역학적영향기본일치，서분태니재회복방면우우서분태니，이서분태니구유경강적술후진통。
Objective To compare the characteristics of remifentanil and sufentanil for tracheal intubation general anesthesia in gyneco-logical laparoscopic operation. Methods 80 patients received gynecological laparoscopic operation were randomly divided into the remifen-tanil group and the sufentanil group with 40 patients in each group, and they were performed total intravenous anesthesia with remifentanil or sufentanil respectively. Compare the changes of heart rate, mean arterial pressure in the two groups before and after induction, at the time of intubation, pneumoperitoneum, and after the operation. And differences in two groups were recorded in the recovery time, extubation time, postoperative pain in 24 hours, exhaust time and postoperative complications. Results Change trend and magnitude in heart rate, mean ar-terial pressure had no significant difference in the two groups (P>0. 05). The recovery time, extubation time in remifentanil group was shor-ter (P<0. 01), postoperative pain in 24 hours in sufentanil group was more mild (P<0. 01). Exhaust time and postoperative complications of the two groups had no significant difference (P>0. 05). Conclusion Remifentanil and sufentanil used in gynecological laparoscopic op-eration can achieve good effect. and effects of the two drugs on hemodynamics were similar. Remifentanil can recieve better effect in terms of recovery time, while sufentanil has better postoperative analgesia effect.