摘要
目的腹腔镜下全子宫切除术麻醉中应用丙泊酚+瑞芬太尼的麻醉效果分析。方法选取2019年4月—2021年6月期间该院收治的腹腔镜下全子宫切除术患者60例,随机数表法分成研究组(30例)和对照组(30例)。研究组患者应用常规丙泊酚麻醉+瑞芬太尼,对照组应用常规丙泊酚麻醉+芬太尼。对比两组患者术中的麻醉效果、术后意识恢复时间、定向力恢复时间、住院时间、术后不同时间VAS评分以及术后不良反应情况。结果研究组患者麻醉效果优于对照组患者,差异有统计学意义(Z=-2.469,P<0.05);研究组患者意识恢复时间、定向力恢复时间和住院时间分别为(6.1±1.3)min、(3.5±2.6)h、(13.3±3.1)d,均低于对照组的(8.3±1.5)min、(9.9±3.7)h、(21.1±3.5)d,差异有统计学意义(t=6.071、7.752、9.138,P<0.05);研究组患者术后1、6、24 h的VAS评分分别为(1.9±0.7)分、(1.4±0.3)分、(1.1±0.2)分,均低于对照组的(3.2±1.1)分、(2.9±1.7)分、(2.5±0.7)分,差异有统计学意义(t=5.461、4.759、10.533,P<0.05);研究组患者不良反应概率为3.33%,低于对照组患者的26.27%,差异有统计学意义(χ^(2)=4.706,P<0.05)。结论在腹腔镜下全子宫切除术麻醉中应用丙泊酚+瑞芬太尼,能够提升术中麻醉效果,减少患者意识、定向力恢复时间和住院时间,降低术后不良反应发生率。
Objective To analyze the anesthesia effect of propofol+remifentanil in laparoscopic total hysterectomy.Methods A total of 60 patients with laparoscopic total hysterectomy who were admitted to the hospital from April 2019 to June 2021 were selected,and divided into a study group(30 cases)and a control group(30 cases)by random number table method.The patients in the study group were treated with conventional propofol anesthesia+remifentanil,and the patients in the control group were treated with conventional propofol anesthesia+fentanyl.The intraoperative anesthesia effect,postoperative consciousness recovery time,orientation recovery time,hospital stay,VAS score at different postoperative time and postoperative adverse reactions were compared between the two groups.Results The anesthesia effect of the study group was better than that of the control group,the difference was statistically significant(Z=-2.469,P<0.05).The recovery time of consciousness,orientation recovery time and hospitalization time of the patients in the study group were(6.1±1.3)min,(3.5±2.6)h,(13.3±3.1)d,which were all lower than(8.3±1.5)min,(9.9±3.7)h,(21.1±3.5)d in the control group,the difference was statistically significant(t=6.071,7.752,9.138,P<0.05).The VAS scores of the patients in the study group at 1 h,6 h and 24 h after the operation were(1.9±0.7)points,(1.4±0.3)points,(1.1±0.2)points,respectively,which were all lower than those in the control group(3.2±1.1)points,(2.9±1.7)points,(2.5±0.7)points,the difference was statistically significant(t=5.461,4.759,10.533,P<0.05).The adverse reaction probability of patients in the study group was 3.33%,which was lower than 26.27%in the control group,the difference was statistically significant(χ^(2)=4.706,P<0.05).Conclusion The application of propofol+remifentanil in laparoscopic total hysterectomy anesthesia can improve the intraoperative anes thesia effect,reduce the patient's consciousness,orientation recovery time and hospitalization time,and reduce the postoperative adverse reaction rate.
作者
陈姝姝
CHEN Shushu(Department of Anesthesiology,Fengxian Hospital of Traditional Chinese Medicine,Fengxian,Jiangsu Province,221700 China)
出处
《系统医学》
2022年第4期103-106,共4页
Systems Medicine
作者简介
陈姝姝(1982-),男,本科,主治医师,主要从事麻醉科临床工作。
