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目的:对比分析芬太尼、丙泊酚辅助全凭静脉麻醉与椎管内静脉辅助麻醉应用于妇科腹腔镜手术的临床麻醉效果。方法:选取我院2014年1月-2015年2月在我院行腹腔镜妇科手术患者共68例随机分成两组,观察组给予芬太尼复合丙泊酚全凭静脉麻醉,对照组给予椎管内静脉辅助麻醉。分别记录麻醉前、气腹后20 min、放气后20 min的DBP、HR、Sp O2及SBP的变化。结果:观察组麻醉前后的收缩压(SBP)、舒张压(DBP)、心率(HR)、脉搏血氧饱和度(Sp O2)稳定性均优于对照组,两组患者比较差异有统计学意义(P<0.05);观察组患者术中肌肉松弛度良好;术后并发症及不良反应发生率等均优于对照组患者,差异具有统计学意义(P<0.05)。结论:全凭静脉麻醉能满足所有腹腔镜手术的要求,应用效果显著,安全性高,麻醉并发症少,值得临床推广使用。
Objective: To compare the clinical effects of fentanyl, propofol-assisted total intravenous anesthesia and spinal canal-assisted anesthesia in gynecologic laparoscopic surgery. Methods: A total of 68 patients undergoing laparoscopic gynecological surgery in our hospital from January 2014 to February 2015 were randomly divided into two groups. The observation group was treated with intravenous anesthesia with fentanyl and propofol, Intravascular intravenous anesthesia. The changes of DBP, HR, Sp O2 and SBP before anesthesia, 20 min after pneumoperitoneum and 20 min after deflation were recorded respectively. Results: The SBP, DBP, HR and Sp O2 of the observation group were better than those of the control group before and after anesthesia, and the difference between the two groups was statistically significant (P <0.05). The intraoperative muscle relaxation in the observation group was better than that in the control group (P <0.05). The postoperative complications and the incidence of adverse reactions were better than those in the control group. Conclusion: Total intravenous anesthesia can meet the requirements of all laparoscopic surgery, the application of significant effect, high safety, less anesthetic complications, worthy of clinical promotion and use.