不同吸入麻醉药对妇科腹腔镜手术麻醉安全性的研究

Study on Anesthesia Safety of Different Inhaled Anesthetics for Gynecological Laparoscopic Operation

目的:探讨不同吸入麻醉药对妇科腹腔镜手术麻醉的安全性。方法:从某医院2015年1月~2016年5月期间诊治的妇科腹腔镜手术患者中抽取180例作研究对象,随机分为七氟醚组、异氟醚组和地氟醚组各60例,对比3组患者围术期的血气分析指标与不良反应发生率。结果:地氟醚组患者气腹后10min的各指标与异氟醚组、七氟醚组相比均有统计学差异(P<0.05);3组不良反应发生率分别为3.33%、13.33%、16.67%,对比有统计学意义(P<0.05)。结论:地氟醚可作为妇科腹腔镜手术中首选麻醉用药。

Objective：To study the anesthesia safety of different inhaled anesthetics for gynecological laparoscopic operation.Methods：180cases of patients with gynecological laparoscopic surgeries in a hospital from January 2015 to May 2016 were selected and randomly divided into sevoflurane group,isoflurane group,and desflurane group,then the incidence of adverse reactions and the index of blood gas analysis in perioperative period of three groups were compared.Results：Compared with isoflurane group and sevoflurane group,all indexes after 10 min of pneumoperitoneum of desflurane group had statistically significant difference（P 0.05）.The incidence of adverse reactions in the three groups was 3.33%,13.33%,and 16.67% respectively,which the difference was statistically significant（P〈0.05）.Conclusion：Desflurane anesthesia can be used as the first choice of anesthesia in gynecological laparoscopic surgery.