芬太尼配合丙泊酚静脉麻醉在妇科门诊手术中的应用价值分析

Application of Fentanyl Combined with Propofol Intravenous Anesthesia in Gynecological Outpatient Surgery

目的:探讨芬太尼配合丙泊酚静脉麻醉在妇科门诊手术中的应用价值。方法:选取2016年2月至2017年5月在我院妇科门诊进行手术的104例患者为研究对象,以随机数字表法分为对照组、观察组,每组各52例,对照组行丙泊酚静脉麻醉,观察组在对照组基础上配合芬太尼静脉麻醉,观察2组麻醉效果及生命体征变化。结果:观察组麻醉优良率为98.08%,同对照组(86.54%)比较,差异有统计学意义(P<0.05);2组T1时生命体征指标差异无统计学意义(P>0.05),T2、T3、T4、T5时2组HR、MAP、Sp O2、RR差异均有统计学意义(P<0.05),对照组波动较大。结论:在妇科门诊手术中应用芬太尼配合丙泊酚静脉麻醉,效果确切,可保持生命体征稳定,值得推广。

Objective： To investigate the application value of fentanyl combined with propofol intravenous anesthesia in gynecological outpatient surgery. Methods：A total of 104 gynecological outpatients underwent operation from Feb 2016 to May 2017 were selected as objects and were randomly divided into the control group and the observation group with 52 cases in each group. The control group was treated with propofol intravenous anesthesia,while the observation group was treated with fentanyl combined with propofol intravenous anesthesia. The effect of anesthesia and vital signs were observed in the two groups. Results：The excellent rate of anesthesia in the observation group was 98.08% ,which was higher than 86.54% in the control group（P〈0.05）. There was no significant difference in vital signs at T1 between the two groups（P〉0.05）. The differences of HR,MAP,SpO2 and RR between the two groups were statistically significant at T2,T3,T4 and T5（P〈0.05）. And the values of HR,MAP,SpO2 and RR fluctuated considerably in the control group. Conclusion：The application of fentanyl combined with propofol intravenous anesthesia in gynecological outpatient surgery is effective and can maitain the stability of vital signs,which is worthy of promotion.