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羟考酮复合丙泊酚应用于宫腔镜手术麻醉的效果分析 被引量:6

Analysis of Oxycodone Combined with Propofol in the Anesthesia Effect of Hysteroscopic Surgery
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摘要 目的评估羟考酮复合丙泊酚应用于宫腔镜手术麻醉的效果与安全性。方法选择我院2015年12月~2016年6月期间收治行宫腔镜手术治疗的90例患者作为实验对象,并分为实验组和对照组,每组45例。对照组行芬太尼复合丙泊酚麻醉,实验组行羟考酮复合丙泊酚麻醉。对比两组患者麻醉诱导前后的心率、动脉压均值以及苏醒后VAS评分、并发症发生率。结果患者苏醒后VAS评分对比,实验组患者低于对照组;患者术中、术后并发症发生率对比,实验组低于对照组;麻醉诱导前后心率、动脉压对比,数据差异明显。组间各项数据对比,诱导后心率、动脉压对比,无明显差异,P>0.05。其余指标对比,实验组均优于对照组,P<0.05。结论羟考酮复合丙泊酚应用于宫腔镜手术麻醉效果显著,镇痛效果好、安全可靠,具有推行价值。 Objective To evaluate the safety and efficacy of oxycodone combined with propofol for anesthesia in hysteroscopic surgery.Methods Ninety cases of patients treated by hysteroscopy in our hospital from December 2015 to June 2016 were collected and divided into control group and experimental group,with 45 cases in each group.The patients in the control group received fentanyl combined with propofol anesthesia,and the patients in the experimental group received oxycodone combined with propofol anesthesia.The heart rate,mean arterial pressure before and after anesthesia,VAS score and complication rate were compared between the two groups before and after anesthesia induction.Results:After the recovery,the VAS score was lower in the experimental group than in the control group.The incidence of intraoperative and postoperative complications in the experimental group was lower than that in the control group.There was significant difference in heart rate and arterial pressure before and after anesthesia induction.There was no significant difference in heart rate and arterial pressure between the groups after the induction,(P>0.05).For the other indexes,the experimental group was better than the control group,(P<0.05).Conclusion Oxycodone combined with propofol in anesthesia in hysteroscopic surgery had significant effect,good analgesic effect.Safe and reliable,it has the value of implementation.
作者 韩丽莹 孙燕 HAN Li-ying;Sun Yan(Anesthesiology Department,women and children’s Hospital of Zhengzhou,Zhengzhou,Henan,450000,China)
出处 《临床研究》 2018年第2期29-30,共2页 Clinical Research
关键词 羟考酮 芬太尼 丙泊酚 宫腔镜手术 麻醉 镇痛效果 oxycodone fentanyl propofol hysteroscopy anesthesia analgesic effect
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