依托咪酯与异丙酚全身麻醉诱导在异位妊娠行腹腔镜手术中的麻醉效果对比

Anesthesia effect comparison of Etomidate and Propofol for general anesthesia induction in laparoscopic surgery for ectopic pregnancy

目的比较依托咪酯与异丙酚全身麻醉诱导在异位妊娠行腹腔镜手术中的麻醉效果。方法选取2017年10月1日～2018年6月30日我院收治的90例异位妊娠行腹腔镜手术患者90例作为研究对象,根据入院时间分为对照组、观察组,每组45例。对照组患者给予异丙酚全身麻醉诱导,观察组给予依托咪酯进行全身麻醉诱导。比较两组患者麻醉前入室时(T0)、诱导后(T1)、插管后1 min(T2)以及插管后5 min(T3)的心率及血压变化情况;比较两组患者的睁眼时间、拔管时间、定向力恢复时间。结果观察组患者T1时的心率、收缩压均明显高于对照组,舒张压低于对照组;睁眼时间、拔管时间、定向力恢复时间均短于对照组,两组比较,差异有统计学意义(P<0.05)。结论与异丙酚比较,依托咪酯在异位妊娠行腹腔镜手术中的麻醉效果更显著,患者恢复更快。

Objective To compare the anesthetic effect of Etomidate and Propofol for general anesthesia in laparoscopic surgery for ectopic pregnancy.Methods A total of 90 patients with ectopic pregnancy who underwent laparoscopic surgery from October 1,2017 to June 30,2018 in our hospital were selected.According to the admission time,they were divided into the control group and observation group,and there were 45 cases in each group.Patients in the control group were provided with general anesthesia with Propofol,and in the observation group,Etomidate for general anesthesia induction was used.Change of heart rate and blood pressure in before anesthesia(T0),after induction(T1),1 minute after intubation(T2),and 5 minutes after intubation(T3)in ectopic pregnancy patients undergone laparoscopic surgery were compared.The eyes open time,extubation time and orientation recovery time between the two groups were compared.Results The heart rate and systolic blood pressure at T1 in patients of the observation group were significantly higher than those in the control group,and the diastolic blood pressure was lower than that in the control group,and the eyes opening time,extubation time and orientation recovery time in patients of the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Compared with Propofol,Etomidate is more effective in laparoscopic surgery for ectopic pregnancy,and with sooner recovery in patients.