摘要
目的探讨丙泊酚对妇科腹腔镜手术患者血流动力学及麻醉恢复的影响。方法选取200例拟行妇科腹腔镜手术患者,随机分为对照组和观察组,各100例。两组均给予丙泊酚、瑞芬太尼、咪唑安定、维库溴铵麻醉诱导,对照组采用瑞芬太尼麻醉维持,观察组采用瑞芬太尼及丙泊酚麻醉维持,观察患者麻醉诱导前(T0)、气腹后3 min(T1)、拔管后3 min(T2)时心率(HR)、平均动脉压(MAP)变化,麻醉恢复情况。结果两组T1、T2时点与T0组内比较差异具有统计学意义(P<0.05或P<0.01),T1、T2时点HR与MAP两组间比较差异具有统计学意义(P<0.05或P<0.01);观察组自主呼吸恢复所需时间、苏醒时间及拔管时间均短于对照组(P<0.01),两组恶心、呕吐发生率比较差异无统计学意义(P>0.05)。结论丙泊酚对妇科腹腔镜手术患者血流动力学影响小,术后麻醉恢复快。
Objective To investigate the effect of propofol on hemodynamics and recovery of anesthesia in patients with gynecologic laparoscopic surgery. Methods Two hundred cases of quasi gynecological laparoscopic surgery patients were randomly divided into the control group and the observation group,100 cases in either group. patients in both groups were treated with propofol,remifentanil,midazolam and vecuronium inducing anesthesia. Patients in the control group were maintained with remifentanil anesthesia,while those in the observation group were maintained with remifentanil and propofol anesthesia. Heart rate（ HR）,mean arterial pressure（ MAP） and anesthesia recovery of patients before induction of anesthesia（ T0）,pneumoperitoneum after 3 min（ T1）,extubation after3 min（ T2） were observed. Results The differences in T0,T1 and T2between the two groups had statistically significance（ P 〈 0. 05 or P 〈 0. 01）. HR and MAP at T1 and T2between the two groups were statistically significant（ P 〈 0. 05 or P 〈 0. 01）. The recovery time and intubation time in the observation group were shorter than the control group（ P 〈 0. 01）,while the differences in incidence of nausea and vomiting between the two groups had no statistical significance（ P 〉 0. 05）. Conclusion Propofol has little influence on the hemodynamics of patients with gynecological laparoscopic surgery and the recovery time from anesthesia is short.
出处
《白求恩医学杂志》
2016年第1期23-25,共3页
Journal of Bethune Medical Science
关键词
丙泊酚
妇科
腹腔镜
血流动力学
麻醉恢复
Propofol
Gynecology
Laparoscopy
Hemodynamics
Anesthesia recovery
