瑞芬太尼+异丙酚在子宫肌瘤切除术中的应用

Application of Remifentanil and Propofol in Hysteromyomectomy

目的研究子宫肌瘤切除术患者实施瑞芬太尼+异丙酚麻醉的效果。方法选择72例于本院接受子宫肌瘤治疗的患者,纳入时间为2016年7月-2017年7月,采用随机数字表法将其分为实验组与对照组,每组均36例。其中对照组采用芬太尼+异丙酚麻醉,实验组行瑞芬太尼+异丙酚麻醉,对比两组患者恢复时长麻醉效果。结果与对照组相比,实验组麻醉起效时长、苏醒时长、拔管时长、呼吸恢复时长较短,实验组子宫肌瘤手术麻醉优良率(94.44%)与对照组(72.22%)相比较高,组间差异存在统计学意义(P<0.05)。结论子宫肌瘤切除手术期间,予以瑞芬太尼+异丙酚麻醉效果较好,患者麻醉及清醒时长较短,具有临床应用优势。

Objective To study the effect of remifentanil and propofol anesthesia in patients undergoing hysteromyomectomy.Methods Seventytwo patients with uterine leiomyoma treated in our hospital were enrolled from July 2016 to July 2017.They were divided into experimental group and control group by random number table method,36 cases in each group.The control group was anesthetized with fentanyl and propofol,while the experimental group was anesthetized with remifentanil and propofol.The anesthetic effects of two groups were compared.Results Compared with the control group,the anesthesia onset time,recovery time,extubation time and respiratory recovery time of the experimental group were longer.The anesthesia excellent rate of the experimental group(94.44%)was higher than that of the control group(72.22%).There was significant difference between the two groups(P<0.05).Conclusion Remifentanil + propofol anesthesia is effective during the operation of hysteromyoma resection,and the duration of anesthesia and awakening is short.It has the advantage of clinical application.