摘要
目的探讨丙泊酚麻醉在全子宫切除术中的应用价值。方法选择2017年10月~2018年9月我院行全子宫切除术的患者98例,分为观察组和对照组,均49例。观察组接受丙泊酚麻醉维持,对照组接受七氟烷麻醉维持。观察两组不同时点应激反应指标。结果T0两组血糖、E、COR水平对比,差异无统计学意义(P>0.05);T1时观察组血糖(5.76±0.75)mmol/L、E(216.98±10.87)ng/L、COR(198.67±13.64)ng/L低于对照组(6.98±0.91)mmol/L、(253.06±12.19)、(239.87±15.70)ng/L,差异有统计学意义(P<0.05);术后观察组MMSE评分(27.89±1.05)分高于对照组(26.36±1.34)分,差异有统计学意义(P<0.05);观察组不良反应发生率(10.20%),对照组(28.57%),差异有统计学意义(P<0.05)。结论丙泊酚在全子宫切除术中麻醉效果显著,值得应用。
Objective:To investigate the clinical value of propofol on panhysterectomy.Methods:Totally,98 patients undergoing panhysterectomy in Qingfeng Third People’s Hospital from October 2017 to September 2018 were selected as the objects of study.They were randomly divided into test group and control group with 49 patients in each group.Patients in test group received propofol anesthesia,while patients in control group received sevoflurane anesthesia.During procedure,the changes of stress response at different times was compared between the two groups.Results:At T0,there were no significant difference between two groups in the levels of blood glucose,E,and COR(P>0.05).At T1,the levels of blood glucose,E,and COR in test group were significantly lower than those in control[(5.76±0.75)mmol/L vs.(6.98±0.91)mmol/L],[(216.98±10.87)ng/L vs.(253.06±12.19)ng/L],[(198.67±13.64)ng/L vs.(239.87±15.70)ng/L],respectively(P<0.05).Conclusions:Propofol has a significant effect on anesthesia for panhysterectomy,worth promoting.
作者
王巧娟
Qiaojuan Wang(Qingfeng Third People's Hospital,Puyang,Henan 457300,China)
出处
《西藏医药》
2019年第6期10-12,共3页
Tibetan Medicine
