摘要
目的:探讨2%丙泊酚(力蒙静)复合七氟烷对妇科腔镜手术患者术后麻醉苏醒时间及Ramsay评分、BCS评分的影响。方法:选择2018年1月~2019年6月间,我院择期行妇科腹腔镜手术的122例患者作为研究对象,随机分为A、B、C三组,A组患者采用七氟烷吸入麻醉,B组患者采用力蒙静单凭静脉麻醉,C组患者采用力蒙静复合七氟烷麻醉,比较三组患者的麻醉苏醒时间、Ramsay评分和 BCS评分等指标。结果:C组患者的意识消失时间、Narcotrend指数下降至36的时间和苏醒时间显著短于A组和B组患者,躁动评分明显优于A组和B组患者,差异具有统计学意义;三组患者术后6h、术后12h和术后24h的VAS评分、Ramsay评分和BCS评分均无显著差异;A、B组患者术后瞻望、躁动的发生率显著高于C组患者,术后不良反应总发生率高于C组患者。结论:力蒙静复合七氟烷用于妇科腔镜手术,麻醉起效快,术后麻醉苏醒平稳、迅速,术后不良反应发生率低,值得在临床推广应用。
Objective To investigate the effects of 2% propofol combined with sevoflurane on anesthesia recovery time,Ramsay score and BCS score in patients undergoing gynecological laparoscopic surgery.Method From January 2018 to June 2019,122 patients undergoing elective gynecological laparoscopy in our hospital were selected as the research subjects and randomly divided into three groups:A,B,and C.Patients in group A were anesthetized with sevoflurane and B Patients in the group were treated with intravenous anesthesia with 2% propofol,and patients in group C were anesthetized with 2% propofol combined with sevoflurane.The anesthesia recovery time,Ramsay score,and BCS score were compared among the three groups.Result The time for the disappearance of consciousness and the time for the Narcotrend index to decrease to 36 in group C were significantly shorter than those in group A and B.The agitation score was significantly better than those in group A and B.The difference was statistically significant;There were no significant differences in VAS scores,Ramsay scores,and BCS scores at 6 hours,12 hours,and 24 hours after surgery.The incidence of postoperative vision and restlessness in patients in group A and B was significantly higher than that in group C.The total incidence of postoperative adverse reactions was higher than that in group C.Conclusion 2% propofol combined with sevoflurane is used in gynecological laparoscopic surgery.The anesthesia starts quickly,the anesthesia wakes up smoothly and quickly after surgery,and the incidence of postoperative adverse reactions is low.It is worthy of clinical application.
作者
姜建华
段君程
史周鼐
杨秋莉
朱绪贤
Jiang Jian-hua;Duan Jun-cheng;Shi Zhou-nai;Yang Qiu-li;Zhu Xu-xian(Department of Anesthesiology,Baoji Hospital,Xi'an Medical College,Xi'an 721600,China;Department of Anesthesiology,Yulin Hospital of traditional Chinese Medicine,Yulin 719000,China)
出处
《湖南师范大学学报（医学版）》
2022年第1期115-117,共3页
Journal of Hunan Normal University(Medical Sciences)
关键词
丙泊酚
七氟烷
腹腔镜
麻醉
propofol
sevoflurane
laparoscopy
anesthesia
