摘要
目的:探讨七氟醚吸入麻醉在宫腔镜手术中应用的可行性及优越性。方法将ASAⅠ-Ⅱ级100例宫腔镜手术患者随机等分为异丙酚组(A组)和七氟醚组(B组)两组。观察并记录麻醉诱导前,睫毛消失后,手术开始后,术毕及苏醒后各时点心率﹑血压﹑血氧饱和度变化;麻醉起效、苏醒及定向力恢复时间;患者舒适度;动脉血气分析;麻醉恢复期不良反应。结果①两组患者HR、MBP﹑SpO2在麻醉起效后及术中均明显下降,与术前比较差异有显著性(P<0.05);A组变化较B组变化更明显,组间比较差异有显著性(P<0.05);②B组患者麻醉诱导时间、苏醒时间、定向力恢复时间均短于A组,B组动脉氧分压高于A组,B组二氧化碳分压低于A组,组间差异有显著性(P<0.05);③B组患者舒适度明显高于A组;④B组未出现恶心呕吐、过敏、寒战等不良反应。结论七氟醚吸入麻醉可安全有效地应用于各类宫腔镜手术,且具有起效迅速、恢复快、舒适度高及术后不良反应少等优势。
Objective To investigate the sevoflurane inhalation anesthesia in the feasibility and superiority of the application of hysteroscopy surgery.Methods The ASAⅠ~Ⅱlevel 100 patients hysteroscopy surgery patients were randomly divided into sevoflurane group(group A)and propofol group(group B)in the two groups.Observe and record before anesthesia induction,eyelash disappeared,surgery after the start,operation and woke up each time the heart rate,blood pressure,blood oxygen saturation change;Anesthesia ef ect,awakening,and directional force recovery time;Patient comfort;Arterial blood gas analysis;Anesthesia recovery adverse reactions.Results 1.Two groups of patients with HR,MBP,SpO2 and intraoperative after anesthesia ef ect were significantly lower,there are significant dif erence compared with preoperative(P<0.05);More apparent changes in group A than group B,compare the dif erences between groups is significant(P<0.05);2.Group B patients anesthesia induction time,wake up of time,directional force recovery time were shorter in group A,group B arterial oxygen partial pressure higher than that of group A,group B carbon dioxide points lower in group A,there are significant dif erence between groups(P<0.05);3.The patient comfort B group was obviously higher than that of group A;4.Group B does not appear nausea and vomiting,al ergies,chil s and other adverse reactions.Sevoflurane inhalation anesthesia.Cconclusion Can be safely and ef ectively used in al kinds of hysteroscopy surgery,and has more quickly,quick recovery,the advantages of the high comfort and postoperative adverse reactions.
作者
刘大民
邱碧辉
李珍
刘珏
LIU Da-min;QIU Bi-hui;LI Zhen;LIU Yu(Department of Anesthesiology,Maternal and Child Health Hospital of Hunan Province,Changsha 410008,Hunan,China)
基金
湖南省科学技术委员会科研计划(2012SK3260).
关键词
七氟醚
异丙酚
宫腔镜
血流动力学
舒适度
Sevoflurane
Propofol
Hysteroscopy
Blood flow dynamics
Comfort levels
