羟考酮对妇科腹腔镜子宫手术患者全身麻醉恢复的影响

Effect of Oxycodone on Recovery Quality of General Anesthesia in Patients Undergoing Gynecological Laparoscopic Surgery

目的观察妇科腹腔镜子宫手术患者应用羟考酮对全身麻醉恢复的影响。方法选取本院腹腔镜子宫手术患者70例,随机分对照组(芬太尼)与观察组(羟考酮),记录各个时间段的动力学变化,比较两组患者的生命体征以及VAS痛觉评分。结果与用药前比较,两组患者在拔管时的收缩压、舒张压以及心率均明显升高(P<0.05)。拔管10min后,观察组的收缩压、舒张压以及心率明显低于对照组(P<0.05)。结论在妇科腹腔镜子宫手术中应用羟考酮,可缩短患者的苏醒时间,并且具有较好的镇痛效果。

Objective To explore the effect of oxycodone on the recovery quality of general anesthesia in patients with gynecological laparoscopic hysterectomy. Methods A total of 70 patients undergoing laparoscopic hysterectomy in our hospital were randomly divided into control group(fentanyl)and observation group(oxycodone)to record the dynamic changes in each period. The vital signs and VAS pain score were compared between the two groups. Results Compared with baseline,during extubation the systolic pressure,diastolic blood pressure and heart rate of two groups of patients were all significantly increased(P<0.05),extubation after 10 min,the systolic pressure,diastolic blood pressure and heart rate of observation group were all significantly lower than the control group(P<0.05). Conclusion The application of oxycodone in patients with gynecological laparoscopic hysterectomy could shorten the resuscitation time of patients,and it has a good analgesic effect,which is of significant clinical value and is worth popularizing and applying.