七氟烷用于妇科腹腔镜手术麻醉效果分析

Anesthesia effects of sevoflurane for gynecologic laparoscopy surgery

目的比较吸入七氟烷和静脉靶控注射丙泊酚用于妇科腹腔镜手术的麻醉效果。方法择期手术患者60例,随机分为A组30例,实施七氟烷吸入麻醉;B组30例实施丙泊酚静脉靶控注射麻醉。观察两组在麻醉维持和苏醒时血液动力学和BIS值的变化以及苏醒时恶心、呕吐和躁动的发生率。结果两组在麻醉过程中BIS值均维持在35～60,达到理想的麻醉深度;麻醉苏醒过程中A组血液动力学变化更为显著;A组苏醒时恶心、呕吐、躁动的发生率较B组高。结论七氟烷吸入及丙泊酚靶控注射全麻均能为妇科腹腔镜手术提供足够的麻醉深度;吸入七氟烷麻醉应采取相应措施预防和治疗苏醒时恶心、呕吐和躁动。

Objective To compare the anesthesia effects of sevoflurane inhalation and propofol target controlled infusion（TCI） for gynaecologic laparoscopy surgery.Methods 60 patients scheduled for gynaecologic laparoscopy surgery were randomly divided into group A（30 cases） and group B（30 cases）.The patients in group A received sevoflurane inhalation anesthesia and the patients in group B received propofol TCI anesthesia.the changes of hemodynamic and BIS were monitored during anesthesia and the incidence of nausea,vomiting,restless during revival.Results Two groups can achieved the enough depth of anesthesia and BIS maintain 35 to 60;the incidence of revival nausea,vomiting,restless group A was high than group B.Conclusion Sevoflurane inhalation and propofol TCI can get enough depth of anesthesia for gynecology laparoscopic surgery;appropriate measures should be adopted to prevent and treat revival nausea,vomiting,restless for sevoflurane Inhalation anesthesia.