丙泊酚复合羟考酮静脉麻醉在妇科宫腔镜手术中的应用.docxVIP

丙泊酚复合轻考酮静脉麻醉在妇科宫腔镜手术中的应用 汤霆张柏银 湖南省脑科医院麻醉科410007 【摘 要】目的：研究丙泊酚复合軽考酮静脉麻醉在妇科日间宫腔镜手术中 应用的临床效果。方法：选择ASA分级1级或II级行宫腔镜检查或手术患者50 例，按随机数字表法分为2组，每组25例，年龄25-45岁。Q组患者开始静脉 给予丙泊酚2mg/kg+^考酮0.1mg/kg, B组患者开始给予丙泊酚2mg/kgo如术 中出现明显体动，则都追加丙泊酚lmg/kgo术毕送麻醉后恢复室（PACU）观察 1个小时。记录患者丙泊酚的用量，呼吸，血流动力学变化，术后苏醒时间，恶 心呕吐情况。术后1小时和4小时的疼痛评分（NRS-11评分）。结果：Q组丙泊 酚用量较B组明显减少，且术后平均疼痛评分显著降低，苏醒时间无明显延长, 两组呼吸以及血流动力学指标差异无统计学意义。结论：丙泊酚复合羟考酮静脉 麻醉能够安全应用于妇科日间宫腔镜手术，减少大量丙泊酚所致副作用，又可提 供完善的镇痛与镇静作用，并降低术后疼痛的发牛。 【关键词】羟考酮；丙泊酚；宫腔镜 Abstract： Objective： To study the propofol compo und oxycod one in trave nous anesthesia in the application of the clinical effect of hysteroscopy surgery in the day of department of gynaecology.Methods： ASA class 1 or II hysteroscopy exami nation or surgery in patie nts with 50 cases, accordi ng to ran dom nu mber table method is divided into two groups, each group of 25 patients, aged 25-45.Qgroup of patients started vein to give propofol 2 mg/kg + oxycodone 0.1 mg/kg, group B patients began to give propofol 2 mg/kg.If intraoperative visible body move, all additional propofol 1 mg/kg.Send after anesthesia recovery room （PACU） observed for 1 hour.Record the dosage of propofol, respiratory, hemodynamic changes, wake up of time, postoperative nausea and vomiting.Record and 1 hour after 4 hours of pain score.Results： propofol dosage compared with group B Q group was obviously reduced, and the average pain score significantly reduced, wake up of time has no obvious extended, two groups of breathing and no statistically significant differences in hemodynamic parameters.Conclusion： propofol compound oxycodone intravenous anesthesia can be safely applied to gynecology hysteroscopy surgery in the day, and reduce the side effects caused by propofol in great quantities, and can provide perfect analgesic and sedation, and reduce the occurrenee of postoperative pain. Key words： oxycodone, propofoh hysteroscopy 妇科宫腔镜手术目前作为一种常规的妇科检查和治疗手段。作为日间常规手 术，具有住院时间短，创伤小，降低院内感染，降低住院费用，检查治疗效果好 等优势。丙泊酚静脉麻醉在妇产科日间手术应用广泛，但其镇静时间短且无镇痛 作用