靶控输注麻醉在腹腔镜子宫肌瘤剥除术中的应用价值

Application Value of Target Controlled Infusion Anesthesia in Laparoscopic Uterine Fibroids Divest Surgery

目的观察和分析靶控输注麻醉方案在腹腔镜行子宫肌瘤剥除手术的麻醉效果。方法选择我院收治的子宫肌瘤患者分为观察组与对照组,均行腹腔镜子宫肌瘤剥除手术,观察组采用丙泊酚联合瑞芬太尼的靶控输注麻醉,而对照组则应用瑞芬太尼静脉麻醉,然后将临床麻醉效果进行对比。结果观察组患者的药效起效时间、清醒时间和麻醉恢复时间以及使用镇静剂时间分别为(1.4±0.4)min、(4.1±2.4)min、(18.3±6.3)min和(21.5±3.6)min,少于对照组患者,差异具有统计学意义。结论药物丙泊酚复合瑞芬太尼的靶控输注麻醉方案,其效果优于常规的静脉复合麻醉法,属于一种安全有效的手术麻醉方案。

Objective To analysis the anesthesia effect on target control ed infusion anesthesia scheme in laparoscopic uterine flesh tumour removal surgery. Methods We chose our hospital patients with uterine fibroids were divided into observation group and control group,were performed laparoscopic uterine flesh tumour removal surgery,observation group with propofol combined target control ed infusion of fentanyl anesthesia,while the control group applied fentanyl intravenous anesthesia,and then compared the clinical anesthesia effect. Results The efficacy of observation group patients work time,awake time and anesthesia recovery time and the use of sedatives were（1.4±0.4）min,（4.1±2.4）min,（18.3±6.3）min and（21.5±3.6） min,respectively. It was significantly less than the control group patients,difference had statistical significance. Conclusion Effect on drug propofol compound target control ed infusion of fentanyl anesthesia are superior to conventional compound vein anesthesia method,belongs to a kind of safe and effective surgical anesthesia.