酮咯酸氨丁三醇复合丙泊酚-瑞芬太尼麻醉用于门诊宫腔镜检术的效果观察

Ketorolac Tromethamine Combined with Propofol and Remifentanil Anesthesia for Outpatient Hysteroscopy Surgery

观察和评价酮咯酸氨丁三醇复合丙泊酚-瑞芬太尼麻醉用于门诊宫腔镜检术的临床效果。选取无痛门诊宫腔镜检术患者60例,依据随机数字表法将患者随机分为瑞芬太尼组(R组)和酮咯酸氨丁三醇组(K组)。统计患者麻醉满意度、围术期心血管用药情况和术毕2h内不良反应发生情况。结果与K组相比,R组手术开始时(T1)、手术开始10min(T2)循环和呼吸抑制较明显(P<0.05),麻醉起效时间相对较长(P<0.05),术毕镇静效果较差(P<0.01),麻醉满意度较低(P<0.01),同时心血管用药次数增多(P<0.05)。两组患者术后均未发生严重不良反应,但K组患者术后镇痛效果明显好于R组(P<0.05)。酮咯酸氨丁三醇复合丙泊酚-瑞芬太尼麻醉应用于门诊无痛宫腔镜检术能够使患者呼吸循环更加平稳,提高麻醉满意度,减少围术期心血管用药次数和有效缓解术后疼痛的发生。

To observe and evaluate the clinical effects of Ketorolac tromethamine combined with propofol and remifentanil anesthesia for outpatient hysteroscopy surgery. A total of 60 patients were subjected to outpatient hysteroscopy surgery and they were randomly divided into 2 groups, Remifentanil group （R group） and Ketorolac tromethamine group （K group）, Compared with group K, in group R the inhibition of circulation and respiration was obviously at T1 and T2 （P〈 0.05）, the anesthesia effecting time was much longer （P〈0.05）, the anesthesia satisfaction was lower （P〈0.0l）, the numbers of using cardiovascular drugs were significantly larger （P〈0.05）. The postoperative adverse reactions did not exist in both groups, but the postoperative analgesia effect in group K patients is significantly better than that in group R patients （P 〈 0. 05 ）. Ketorolac tromethamine combined with propofol and remifentanil anesthesia for outpatient hysteroscopy surgery can keep patient respiratory and circulation more smoothly during the operation, improve the anesthesia satisfaction, and reduce the use of cardiovascular drugs and the occurrence of postoperative pain significantly.