不同药物在经阴道穿刺取卵术麻醉中应用效果.docVIP

不同药物在经阴道穿刺取卵术麻醉中的应用效果 　　[摘要]目的 探讨不同药物在经阴道穿刺取卵术麻醉中的应用效果。方法 选取2015年8月1日～2017年7月31日在本院接受经阴道穿刺取卵术的50例患者作为研究对象，采用计算机随机分组法将患者分成两组，每组25例。观察组术中应用右美托咪定+地佐辛，对照组术中应用瑞芬太尼+丙泊酚。比较两组的各项生命体征指标及不良反应发生情况。结果 观察组患者T1、T2、T3、T4、T5时的呼吸频率、血氧饱和度、心率、平均动脉压未发生明显改变（P0.05）。观察组T2、T3、T4、T5时的呼吸频率、血氧饱和度高于对照组，T2时的心率、平均动脉压高于对照组，T5时的心率、平均动脉压低于对照组，差异有统计学意义（P0.05）。观察组的术后躁动、血氧饱和度92%发生率低于对照组，差异有统计学意义（P0.05）。结论 右美托咪定联合地佐辛应用在经阴道穿刺取卵术中的效果可靠。 　　[关键词]麻醉；经阴道穿刺取卵术；效果 　　[中图分类号] R614.2+4 [文献标识码] A [文章编号] 1674-4721（2018）1（c）-0054-03 　　Application effect of different drugs in the anaesthesia of transvaginal puncture and ovum extraction 　　HU Shuai 　　Department of Anesthesia，the Second Affiliated Hospital of Chengdu University of Traditional Chinese Medicince，Sichuan Province，Chengdu 610000，China 　　[Abstract]Objective To explore the application effect of different drugs in the anaesthesia of transvaginal puncture and ovum extraction.Methods 50 patients received the transvaginal puncture and ovum extraction from August 1，2015 to July 31，2017 were selected as object.Using the computer random grouping method，50 patients were divided into the two groups，and there were 25 cases in each group.The observation group was treated with Dexmedetomidine+Diazepam，while the control group was treated with Remifentanil+Propofol.Various signs of life and incidence of adverse reaction between the two groups were compared.Results The respiratory frequency，oxygen saturation，heart rate and mean arterial pressure of the patients in the observation group were not significantly changed at T1，T2，T3，T4 and T5 （P0.05）.The respiratory rate and oxygen saturation at T2，T3，T4 and T5 in the observation group were higher than those in the control group and the heart rate and mean arterial pressure at T2 in the observation group were higher than those in the control group，and the heart rate and mean arterial pressure at T5 were lower than those in the control group，with a statistically significant difference （P0.05）.The incidence of postoperativ