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目的观察异丙酚伍用雷米芬太尼麻醉用于宫腔镜手术的临床效果。方法80例门诊行宫腔镜手术患者,分为两组,每组40例。Ⅰ组为单纯异丙酚组,Ⅱ组为异丙酚+雷米芬太尼组。观察术中麻醉效果,丙泊酚用量,术后苏醒时间及恶心呕吐发生率。结果两组麻醉效果优秀率分别为75%和90%(P<0.05);丙泊酚用量分别为(318±45)mg和(241±37)mg(P<0.05);术后苏醒时间分别为(13.4±2.8)m in和(7.3±2.5)m in(P<0.05);术后恶心呕吐发生率25%和35%(P>0.05)。结论异丙酚伍用雷米芬太尼麻醉用于宫腔镜手术,可提高麻醉效果,缩短苏醒时间且未增加恶心呕吐发生率,是一种安全有效的麻醉方法。
Objective To observe the clinical effect of propofol combined with remifentanil anesthesia for hysteroscopic surgery. Methods Eighty patients undergoing hysteroscopy were divided into two groups, 40 cases in each group. Group Ⅰ was pure propofol group, group Ⅱ was propofol + remifentanil group. Intraoperative anesthesia, propofol dosage, postoperative recovery time and incidence of nausea and vomiting were observed. Results The excellent rates of anesthesia in the two groups were 75% and 90% respectively (P <0.05). Propofol was (318 ± 45) mg and (241 ± 37) mg respectively (P <0.05) (13.4 ± 2.8) m in and (7.3 ± 2.5) m in (P <0.05). The incidence of postoperative nausea and vomiting was 25% and 35% respectively (P> 0.05). Conclusion Propofol anesthesia with remifentanil for hysteroscopic surgery can improve anesthesia, shorten the recovery time and did not increase the incidence of nausea and vomiting, is a safe and effective method of anesthesia.