中长链丙泊酚、七氟醚复合舒芬太尼在异位妊娠失血性休克腹腔镜术中的应用

Application of Medium/Long Chain of Propofol and Sevoflurane Combined with Sufentanil in Ectopic Pregnancy Hemorrhagic Shock during Laparoscopic Surgery

目的对比中长链丙泊酚、七氟醚复合舒芬太尼在异位妊娠失血性休克腹腔镜术中的麻醉效果。方法选取我院收治的120例行腹腔镜手术治疗的异位妊娠失血性休克患者,根据术中麻醉方式随机将其分为两组,各60例。A组采用七氟醚复合舒芬太尼麻醉,B组采用中/长链丙泊酚复合舒芬太尼麻醉。比较两组患者的麻醉效果。结果 A组术中的心率、平均动脉压较B组稳定(P<0.05)。A组的意识消失、气管插管和定向力恢复时间均明显短于B组(P<0.05)。A组的术后麻醉不良反应发生率明显低于B组(P<0.05)。结论七氟醚复合舒芬太尼在异位妊娠失血性休克腹腔镜术中具有较好的麻醉效果,对患者的血流动力学影响较小,且患者术后恢复质量高,值得临床推广应用。

Objective To compare the anesthetic effect between medium/long chain of propofol and sevoflurane combined with sufentanil in ectopic pregnancy hemorrhagic shock during laparoscopic surgery. Methods 120 cases of patients with ectopic pregnancy hemorrhagic shock during laparoseopic surgery in our hospital were selected and randomly divided into two groups according to the anesthesia during surgery. Group A received sevoflurane combined with sufentanil for anesthesia, while group B received medium/long chain of propofol combined with sufentanil for anesthesia. The anesthetic effects were compared between two groups. Results The heart rate and mean arterial pressure of group A were more stable than those of group B （P 〈0.05）. The time of conscious disappearance, tracheal intubation and orientation recovery of group A were significantly shorter than those of group B （P 〈0.05）. The incidence of postoperative anesthetic adverse reactions of group A was significantly lower than that of group B （P 〈0.05）. Conclusions Sevoflurane combined with sufentanil in ectopic pregnancy hemorrhagic shock during laparoscopic surgery has better anesthetic effect, less influence on patients＇ hemodynamics and high quality ＆postoperative recovery, which is worthy of clinical promotion and application.