瑞芬太尼伍用丙泊酚在妇科腹腔镜手术中临床研究.docVIP

瑞芬太尼伍用丙泊酚在妇科腹腔镜手术中临床研究[摘要] 目的：观察瑞芬太尼伍用丙泊酚在妇科腹腔镜手术的麻醉效果。方法：选取妇科腹腔镜手术患者60例，ASAⅠ～Ⅱ级，麻醉选用瑞芬太尼伍用丙泊酚，观察术前、麻醉诱导中以及气管插管拔除时的血压（BP）、心率（HR）、氧分压（SpO2）变化；以及术后恶心呕吐和术中知晓等不良反应出现的情况。结果：60例均手术顺利完成。所有患者术中均未出现术中知晓，血流动力学平稳，术后随访未见明显不良反应。结论：瑞芬太尼伍用丙泊酚用于妇科腹腔镜手术中，麻醉诱导顺利，术中血流动力学稳定，不良反应发生率低，术后恢复良好，值得广泛临床应用。 [关键词] 瑞芬太尼；丙泊酚；腹腔镜手术；妇科 [中图分类号] R971 [文献标识码] C[文章编号] 1674-4721（2011）07（c）-102-02 Clinical analysis on rachel fentanyl combined with propofol in laparoscopic surgery WU Chunsheng People’s Hospital of Xiangxi State, Hunan Province, Xiangxi 416000, China [Abstract] Objective: To observe the firearm rick fentanyl in gynecology tabor phenol with anaesthetic effect of laparoscopic surgery. Methods: Selected gynecological laparoscopic surgery patients of 60 cases, ASA Ⅰ-Ⅱ level, anesthesia choose rachel fentanyl combined with propofol, observed blood pressure (BP), heart rate (HR), oxygen partial pressure (SpO2) change when preoperative, induction of general anesthesia and pulling and tracheal intubation; and postoperative nausea and vomiting and intraoperative awareness of such aderse eents. Results: 60 cases completed surgery successfully. All patients did not appear intraoperative awareness intraoperative, hemodynamics was smooth, follow-up hemodynamic not seen obvious adverse reactions. Conclusion: Rachel fentanyl combined with propofol for gynecology laparoscopic surgery, smoothly and induction of general anesthesia hemodynamic stability, intraoperative and postoperative low incidence of aderse good recovery, deserves extensive clinical application. [Key words] Rachel fentanyl; Propofol; Laparoscopic surgery; Gynecologic 随着现代医学技术的发展，高科技手段与传统外科技术结合更加紧密，微创手术在临床得到了广泛应用。其中腹腔镜手术时间短，麻醉诱导迅速、意识恢复快。满足了人类所追求的以最小的创伤进行外科手术的要求，腹腔镜手术得到了越来越广泛的临床应用[1]。妇科患者对术后美观的要求更高，因此腹腔镜手术已经逐渐成为妇科手术的首选，妇科腹腔镜手术要求适当的麻醉选择和合适的手术体位，因此麻醉药物和给药方式的选择不容忽视。本院采用瑞芬太尼伍用丙泊酚静脉麻醉行妇科腹腔镜手术，收到了满意的效果，现报道如下： 1 资料与方法 1.1 一般资料 本次研究所选择病例均来自2009年8月~2010年6月于本院妇科就诊的患者，共60例。ASA Ⅰ~Ⅱ级，年龄24~46岁，平均32.6岁，体重52~81 kg，平均体重60.5