摘要
目的探讨静吸复合麻醉镇静深度对腹腔镜下宫颈癌根治术患者的影响。方法选取2017年8月14日~2018年8月14日我院收治的90例腹腔镜下宫颈癌根治术患者作为研究对象,根据数据库随机分组式分为A组与B组,每组各45例。两组患者均采用静吸复合麻醉,A组进行较深麻醉,B组进行较浅麻醉。比较两组术中出血量、血压水平、说话时间、苏醒时间、拔管时间、连线实验(TMT)完成时间、简易精神状态量表(MMSE)评分。结果两组患者术中出血量、血压水平、说话时间、苏醒时间及拔管时间比较,差异无统计学意义(P>0.05)。A组在术后1 d的MMSE评分为(27.32±0.81)分,高于B组的(23.78±0.54)分,差异有统计学意义(P<0.05),TMT完成时间为(40.02±1.34)s,短于B组的(43.89±1.25)s,差异有统计学意义(P<0.05)。结论对腹腔镜下宫颈癌根治术患者采取脑电双频指数(BIS)值为40~50的较深静吸麻醉,可促进患者的术后认知恢复,值得推广实施。
Objective To investigate the effect of depth of combined intravenous and inhalation anesthesia on patients undergoing radical laparoscopy for cervical cancer. Methods A total of 90 cases of patients undergoing laparoscopic radical laparoscopy for cervical cancer admitted to our hospital on August 14, 2017 to August 14, 2018 were selected as research objects. According to the database random grouping method, they were divided into group A and group B,with 45 cases in each group. All patients were used combined intravenous and inhalation anesthesia, with deep anesthesia in group A and shallow anesthesia in group B. The intraoperative blood loss, blood pressure level, speaking time,waking time, extubation time, completion time of TMT and simple mental state scale(MMSE) scores were compared between the two groups. Results There were no significant differences in intraoperative blood loss, blood pressure level,speaking time, wake time and extubation time between group A and group B(P>0.05). The MMSE score of group A for(23.78±0.54) points on the first day after surgery was higher than that of group B for(23.78±0.54) points, with statistically significant difference(P<0.05), and the TMT completion time for(40.02±1.34) s was shorter than that of group B for(43.89±1.25) s, with statistically significant difference(P<0.05). Conclusion Deep Combined intravenous and inhalation anesthesia with bispectral index(BIS) value of 40~50 can promote postoperative cognitive recovery in patients undergoing radical laparoscopy for cervical cancer, which worthy to be popularized.
作者
都学军
DU Xue-jun(Department of Anesthesiology,Anshan Cancer Hospital,Liaoning Province,Anshan114000,China)
出处
《中国当代医药》
2019年第35期172-174,共3页
China Modern Medicine
关键词
静吸复合麻醉
镇静深度
腹腔镜
宫颈癌根治术
认知功能
Combined intravenous and inhalation anesthesia
Sedation depth
Laparoscopic
Radical resection of cervical cancer
Cognitive function
