摘要
目的探讨无阿片麻醉应用于妇科腔镜手术的可行性,为围手术期镇痛治疗提供新的思路。方法本次研究基于按随机数表法将2020年10月至2022年12月间在右江民族医学院附属医院行全身麻醉妇科腔镜手术患者70例分为两组,分别为无阿片麻醉组(A组)与常规阿片麻醉(B组)各35例。对比两组患者丙泊酚及七氟烷的用量,清醒时间、拔除气管导管时间、复苏时长、平均动脉压、术后24h内不良反应的发生情况。结果对比两组患者术中丙泊酚、七氟烷的平均消耗量,B组大于A组(P<0.05);对比两组患者清醒时间、拔除气管导管时间、复苏时长,B组大于A组(P<0.05);在T0、T_(4)时点,B组心率高于A组,在T_(1)、T_(2)、T_(3)时点,B组心率低于A组(P>0.05);在T0、T_(1)、T_(2)时点,A组平均动脉压高于B组;在T_(3)、T_(4)时点,A组平均动脉压低于B组(P>0.05);对比两术后24 h内两组患者的不良反应发生率P<0.05,且B组患者术后需要使用镇痛的可能性大。结论无阿片麻醉应用于妇科腔镜手术具有可行性,可以降低不良反应发生率,体现出应用价值。
Objective To explore the feasibility of using opioid free anesthesia in gynecological endoscopic surgery and provide new ideas for perioperative analgesia treatment.Method This study was based on a random number table method.Seventy patients who underwent general anesthesia gynecological laparoscopic surgery at the Affiliated Hospital of Youjiang Medical University for Nationalities from October 2020 to December 2022 were divided into two groups:the non opioid anesthesia group(group A)and the conventional opioid anesthesia group(group B),with 35 patients in each group.Compare the dosage of propofol and sevoflurane,awakening time,tracheal catheter removal time,resuscitation time,mean arterial pressure,and incidence of adverse reactions within 24 hours after surgery between the two groups of patients.Results The average consumption of propofol and sevoflurane during surgery was compared between the two groups of patients,and group B was higher than group A(P<0.05);Comparing the awakening time,tracheal catheter removal time,and resuscitation time between the two groups of patients,group B was found to be longer than group A(P<0.05);At T0 and T_(4) time points,the heart rate of group B was higher than that of group A,while at T_(1),T_(2),and T_(3) time points,the heart rate of group B was lower than that of group A(P>0.05);At time points T0,T_(1),and T_(2),the average arterial pressure in group A was higher than that in group B;At time points T_(3) and T_(4),the average arterial pressure in group A was lower than that in group B(P>0.05);Compare the incidence of adverse reactions between the two groups of patients within 24 hours after surgery(P<0.05),and there is a high possibility that group B patients need to use analgesia after surgery.Conclusion The application of opioid free anesthesia in gynecological endoscopic surgery is feasible,which can reduce the incidence of adverse reactions and demonstrate its application value.
作者
张春莹
王婷
赵亚琳
廖美想
高思思
潘凤婷
赵明园
ZHANG Chunying;WANG Ting;ZHAO Yalin;LIAO Meixiang;GAO Sisi;PAN Fengting;ZHAO Mingyuan(Department of Anesthesiology,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,China;Graduate School,Youjiang Medical University for Nationalities,Baise 533000,China)
出处
《中国医药指南》
2023年第21期92-94,共3页
Guide of China Medicine
基金
2021年百色市科学研究与技术开发计划(百科20212324)。
关键词
无阿片麻醉
妇科
腔镜手术
Opioid free anesthesia
Gynaecology
Endoscopic surgery
