顺阿曲库铵联合喉罩插管静脉麻在宫颈锥切术中的应用

Application of Cisatracurium Combined with LMA Intravenous Anesthesia for Cervical Conization

目的评价顺阿曲库铵联合喉罩插管静脉麻用于宫颈锥切术中的临床效果及安全性。方法行宫颈锥切术患者60例,随机分为实验组和对照组:对照组采用瑞芬太尼及丙泊酚静脉麻,实验组在瑞芬太尼及丙泊酚静脉麻基础上加用顺阿曲库铵及喉罩插管。记录围麻醉期心率、血压、血氧饱和度、呼吸,麻醉苏醒时间,术者及患者对麻醉满意度及不良反应。结果两组麻醉期心率、血压及麻醉苏醒时间无明显差别,患者均对麻醉满意。实验组术中患者呼吸更易于控制,术者满意度更高,无明显不良反应。结论顺阿曲库铵联合喉罩插管静脉麻效果确切、安全,适用于宫颈锥切术。

Objective To evaluate the efficacy and safety of cisatracurium and LMA intravenous anesthesia in cervical conization. Methods Sixty patients scheduled for cervical conization were divided randomly into Group C and Group E. Patients in Group C received remifentanyl and propofol intravenous anesthesia, while those in Group E received cisatracurium combined with LMA plus remifentanyl and propofol intravenous anesthesia .The data of BP, HR, SpO2, respiration, recovery time, satisfaction proportion, and adverse effects were recorded. Results The BP, HR and recovery time of both groups were comparable. All the patients were satisfied with anesthesia. The respiration in Group E was more controllable and the satisfaction proportion of operators was higher, as compared with Group C. Conclusion Cisatracurium and LMA intravenous anesthesia or cervical conization is safe and reliable.