呋噻米对妇科腹腔镜手术麻醉苏醒的影响

Effects of Furosemide on Reaction of Anesthesia Recovery in Gynecological Laparoscopic Operation

目的呋噻米对妇科腹腔镜手术麻醉苏醒的影响。方法择期行妇科腹腔镜手术患者60例,随机分为估计离手术结束30分钟内,血容量充足情况下静脉注射呋噻米20mg组(P组,n=30)和未注射呋噻米组(I组,n=30),估计离手术结束15～30分钟内,关闭异氟醚挥发罐,P组在血容量充足情况下静脉注射呋噻米20mg,同时用异丙酚4mg·kg-1·h-1静脉泵维持手术结束,Ⅰ组在用异丙酚4mg·kg-1·h-1静脉泵维持手术结束,比较两组的麻醉恢复质量,拔管时间,睁眼时间,定向力时间,结膜水肿消失时间,关闭异氟醚挥发罐后两组吸入麻药最低肺泡有效浓度(MAC)的变化情况以及与手术时间相关的重力产生的水肿情况:颜面部水肿、结膜水肿、眼球突出。结果麻醉苏醒质量P组明显优于I组。结论呋噻米可明显缩短妇科腹腔镜手术的麻醉苏醒时间,改善麻醉苏醒质量。

Objective Effects of furosemide on anesthesia recovery for gynecological laparoscopic operation. Methods 60 cases underwent gynecological laparoscopic operation were divided randomly into two groups： the first group whith sufficient blood volume was injected whith furosemide, while the second group nothing. Closing the vaporizer in about 15-30 mins the end of operation. The first group treated with furosemide 20mg, also anesthesia maintenance was carried out with furosemide 4mg.kg^-1.h^-1 to the end of operation, while the control group did not receive furosemide. We compare the recovery quality in two groups, include： extubation time, eye opening time, orientation time. Results The recovery quality of the furosemid group was obviously superior to the control. Conclusion The furosemid could shorten the anesthesia awaking time significantly for gynecological laparoscopic operation, and also improve anesthesia quality.