中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
11期
1693-1695
,共3页
吕文艳%蒋仙红%张曙报%王靖宇%徐文强
呂文豔%蔣仙紅%張曙報%王靖宇%徐文彊
려문염%장선홍%장서보%왕정우%서문강
丙泊酚%苏芬太尼%腹腔镜检查%卵巢囊肿切除术
丙泊酚%囌芬太尼%腹腔鏡檢查%卵巢囊腫切除術
병박분%소분태니%복강경검사%란소낭종절제술
Propofol%Sufentanil%Laparoscopy%Excision of cyst of ovary
目的：观察丙泊酚复合苏芬太尼行腹腔镜卵巢囊肿切除术的临床疗效。方法选择行腹腔镜卵巢囊肿切除术患者80例，按随机数字表法分为观察组和对照组各40例。观察组行丙泊酚复合苏芬太尼麻醉，对照组行丙泊酚复合芬太尼麻醉。比较两组患者恢复情况、手术时间、手术出血量、肠胃功能恢复时间及术后并发症。结果观察组恢复自主呼吸时间、苏醒时间、拔管时间分别为（8．4±2．3）min、（10．5±3．3）min、（12．7±2．3）min，对照组分别为（10．1±2．2）min、（12．3±2．6）min、（15．3±3．5）min，两组差异均有统计学意义（t ＝3．378、2．710、3．926，均 P ＜0．05）；观察组手术时间、手术出血量、肠胃功能恢复时间分别为（44．7±5．4）min、（19．5±3．5）mL、（18．3±2．4）h，对照组分别为（67．5±7．8）min、（42．7±2．8）mL、（42．4±3.2）h，两组差异均有统计学意义（t ＝15．200、32．736、38．105，均 P ＜0．05）。观察组术后镇痛、术中知晓、苏醒期烦躁发生率分别为25．0％、0．0％、7．5％，明显低于对照组的57．5％、12．5％、37．5％，差异均有统计学意义（χ2＝8．717、5．333、10．323，均 P ＜0．05）。结论丙泊酚复合苏芬太尼行腹腔镜卵巢囊肿切除术的效果显著，手术时间短，术后恢复快，且术后并发症少，值得在临床中广泛使用。
目的：觀察丙泊酚複閤囌芬太尼行腹腔鏡卵巢囊腫切除術的臨床療效。方法選擇行腹腔鏡卵巢囊腫切除術患者80例，按隨機數字錶法分為觀察組和對照組各40例。觀察組行丙泊酚複閤囌芬太尼痳醉，對照組行丙泊酚複閤芬太尼痳醉。比較兩組患者恢複情況、手術時間、手術齣血量、腸胃功能恢複時間及術後併髮癥。結果觀察組恢複自主呼吸時間、囌醒時間、拔管時間分彆為（8．4±2．3）min、（10．5±3．3）min、（12．7±2．3）min，對照組分彆為（10．1±2．2）min、（12．3±2．6）min、（15．3±3．5）min，兩組差異均有統計學意義（t ＝3．378、2．710、3．926，均 P ＜0．05）；觀察組手術時間、手術齣血量、腸胃功能恢複時間分彆為（44．7±5．4）min、（19．5±3．5）mL、（18．3±2．4）h，對照組分彆為（67．5±7．8）min、（42．7±2．8）mL、（42．4±3.2）h，兩組差異均有統計學意義（t ＝15．200、32．736、38．105，均 P ＜0．05）。觀察組術後鎮痛、術中知曉、囌醒期煩躁髮生率分彆為25．0％、0．0％、7．5％，明顯低于對照組的57．5％、12．5％、37．5％，差異均有統計學意義（χ2＝8．717、5．333、10．323，均 P ＜0．05）。結論丙泊酚複閤囌芬太尼行腹腔鏡卵巢囊腫切除術的效果顯著，手術時間短，術後恢複快，且術後併髮癥少，值得在臨床中廣汎使用。
목적：관찰병박분복합소분태니행복강경란소낭종절제술적림상료효。방법선택행복강경란소낭종절제술환자80례，안수궤수자표법분위관찰조화대조조각40례。관찰조행병박분복합소분태니마취，대조조행병박분복합분태니마취。비교량조환자회복정황、수술시간、수술출혈량、장위공능회복시간급술후병발증。결과관찰조회복자주호흡시간、소성시간、발관시간분별위（8．4±2．3）min、（10．5±3．3）min、（12．7±2．3）min，대조조분별위（10．1±2．2）min、（12．3±2．6）min、（15．3±3．5）min，량조차이균유통계학의의（t ＝3．378、2．710、3．926，균 P ＜0．05）；관찰조수술시간、수술출혈량、장위공능회복시간분별위（44．7±5．4）min、（19．5±3．5）mL、（18．3±2．4）h，대조조분별위（67．5±7．8）min、（42．7±2．8）mL、（42．4±3.2）h，량조차이균유통계학의의（t ＝15．200、32．736、38．105，균 P ＜0．05）。관찰조술후진통、술중지효、소성기번조발생솔분별위25．0％、0．0％、7．5％，명현저우대조조적57．5％、12．5％、37．5％，차이균유통계학의의（χ2＝8．717、5．333、10．323，균 P ＜0．05）。결론병박분복합소분태니행복강경란소낭종절제술적효과현저，수술시간단，술후회복쾌，차술후병발증소，치득재림상중엄범사용。
Objective To observe the clinical effect of propofol combined with sufentanil in laparoscopic ovarian cyst resection.Methods 80 cases who underwent laparoscopic ovarian cyst resection were chosen,they were divided into the observation group and control group with 40 patients in each group according to the random number table method.The observation group was anaesthetized with propofol combined with sufentanil,while the control group was anaesthetized with propofol combined with fentanyl,the recovery status,operation time,intraoperative bleeding volume,recovery time of gastrointestinal function and postoperative complications in the two groups were compared. Results The recovered spontaneous breathing time,recovery time,extubation time of the observation group were (8.4 ±2.3)min,(10.51 ±3.3)min,(12.7 ±2.3)min,which of the control group were (10.11 ±2.2)min, (12.3 ±2.6)min,(15.3 ±3.5)min,there was statistically significant difference between the two groups (t =3.378, 2.710,3.926,all P <0.05);The operation time,operation amount of bleeding,gastrointestinal function recovery time of the observation group were (44.7 ±5.4)min,(19.5 ±3.5)mL,(18.3 ±2.4)h,which of the control group were (67.5 ±7.8)min,(42.7 ±2.8)mL,(42.4 ±3.2)h,there were significant differences between the two groups(t =15.200,32.736,38.105,all P <0.05).Postoperative analgesia,postoperative awareness,emergence delirium inci-dence rates of the observation group were 25%,0%,7.5%,which were significantly lower than 57.5%,12.5%, 37.5% of the control group,the differences were statistically significant(χ2 =8.717,5.333,10.323,all P <0.05). Conclusion The propofol combined with sufentanil in laparoscopic ovarian cyst resection has more significant effect, which can shorten the operation time,promote the postoperative recovery,reduce complications,worthy to be widely used in clinical practice.
