苯磺酸瑞马唑仑对宫腔镜手术患者麻醉苏醒质量和认知功能的影响

Effects of remazolam besylate on quality of anesthesia recovery and cognitive function in patients undergoing hysteroscopic surgery

目的 评估苯磺酸瑞马唑仑应用于宫腔镜手术后对术后恢复及认知功能的影响。方法 选取80例行宫腔镜手术患者,根据随机数字表法分成对照组(常规方式麻醉)与观察组(在对照组基础上加用苯磺酸瑞马唑仑麻醉),每组40例。对比两组患者麻醉苏醒质量、术后3 h与24 h的智力状态(MMSE)、清醒-镇静评分(OAAS)及不良反应发生情况。结果 观察组麻醉苏醒质量各指标均优于对照组(P<0.05)。术后3 h、24 h,观察组MMSE、OAAS评分均高于对照组(P<0.05)。观察组不良反应发生率(7.50%)低于对照组(27.50%)(P<0.05)。结论 在宫腔镜手术患者中实施苯磺酸瑞马唑仑麻醉具有积极意义,有利于改善麻醉质量,预防不良反应发生,值得临床推广与应用。

Objective To evaluate the effects of remazolam besylate on postoperative recovery and cognitive function after hysteroscopic surgery.Methods 80 patients undergoing hysteroscopic surgery were selected and divided into control group(anesthesia by conventional method) and observation group(anesthesia with remazolam besylate added on the basis of control group) according to random number table,with 40 cases in each group.The quality of anesthesia recovery,mental state(MMSE),wakefulness and sedation score(OAAS) and the occurrence of adverse reactions were compared between the two groups.Results The indexes of anesthesia recovery quality in the observation group were better than those in the control group(P<0.05).At 3 h and 24 h after operation,MMSE and OAAS scores in observation group were higher than those in control group(P<0.05).The incidence of adverse reactions in observation group(7.50%) was lower than that in control group(27.50%)(P<0.05).Conclusion Remazolam besylate acid anesthesia in patients undergoing hysteroscopic surgery has positive significance,is conducive to improving the quality of anesthesia,prevent the occurrence of adverse reactions,and is worthy of clinical promotion and application.