右美托咪定静脉泵注联合七氟烷吸入诱导在宫腔镜手术麻醉中的应用效果

Effect of Intravenous Pump Injection of Dexmedetomidine Combined with Sevoflurane Inhalation Induction in Hysteroscopic Surgery Anesthesia

目的重点阐述宫腔镜手术麻醉中诱导方式应用右美托咪定静脉泵注+七氟烷吸入的效果。方法选取在2018年1月—2020年12月期间在本院行宫腔镜治疗100例患者,在手术麻醉中按照不同麻醉方式进行分组,其中50例患者为单纯性七氟烷诱导,将其划入对比组,剩余50例患者给予右美托咪定静脉泵注+七氟烷诱导,将其划入观察组,比较两组不同吸入麻醉方式的效果以及相关指标数据。结果观察组宫腔镜手术患者不良反应发生率为14.0%显著低于对比组66.0%,差异有统计学意义(P<0.05);两组宫腔镜患者中平均动脉压以及血氧饱和度血流动力学4个时间点各项参数变化差异无统计学意义(P>0.05),但是观察组浮动参数更低;观察组心率在泵注后5 min、开始无意识时下降明显,与对比组比较差异有统计学意义(P<0.05);观察组宫腔镜患者手术诱导用时以及复苏时间远远短于对比组,比较差异有统计学意义(P<0.05)。结论宫腔镜手术麻醉中采用右美托咪定静脉泵注+七氟烷诱导麻醉的效果理想,不仅能够在保留患者自主呼吸的状态下缩短喉罩置入用时,且麻醉效果理想,患者术后苏醒迅速,安全性更高,故值得借鉴。

Objective To study the effect of sevoflurane inhalation with dexmetomidine intravenous pump in hysteroscopic anesthesia.Methods From January 2018 to December 2020,100 patients were treated with hysteroscopy,In surgical anesthesia,of these,50 were induced by sevoflurane,Into the contrast group,the remaining 50 patients were induced by dexmedetomidine intravenous infusion of sevoflurane,To the observation group,The effect of different inhalation anesthesia methods and related index data were compared with each other.Results The incidence of adverse reactions in the observation group was 14.0%significantly lower than that in the contrast group 66.0%,P<0.05;Although there was no significant difference in the parameters of mean arterial pressure and blood oxygen saturation hemodynamics between the two groups(P>0.05),However,the floating parameters of the observation group were lower;Heart rate in the observation group decreased significantly at the beginning of unconsciousness 5 min、after pumping,Comparison with contrast group(P<0.05);The operative induction time and resuscitation time of hysteroscopic patients in the observation group were much shorter than those in the contrast group,Each other P<0.05.Conclusion The effect of sevoflurane injection with dexmedetomidine intravenous pump in hysteroscopic anesthesia is ideal,not only can you shorten the time of laryngeal mask placement while preserving the patient’s spontaneous breathing,And the anesthesia was ideal,The patient recovered quickly after surgery,More secure,Therefore,it is worth learning from.