舒芬太尼复合丙泊酚静脉麻醉在腹腔镜子宫肌瘤剔除术中的应用

Application of sufentanil combined with propofol intravenous anesthesia in laparoscopic hysteromyomectomy

目的分析对于腹腔镜下子宫肌瘤剔除术患者给予舒芬太尼+丙泊酚实施静脉麻醉的价值。方法选取56例腹腔镜下子宫肌瘤剔除术的患者,根据随机数字表法分为对照组与试验组,各28例。对照组给予瑞芬太尼+丙泊酚静脉麻醉,试验组给予舒芬太尼+丙泊酚静脉麻醉。比较两组术中麻醉效果、麻醉指标、麻醉不良反应发生情况。结果试验组术中麻醉优良率为100%,高于对照组的85.71%,差异有统计学意义(P<0.05)。试验组管道拔除时间、自主呼吸恢复时间以及定向力恢复时间和苏醒时间均短于对照组,差异有统计学意义(P<0.05)。试验组麻醉不良反应发生率为3.57%,低于对照组的21.43%,差异有统计学意义(P<0.05)。结论对于腹腔镜下子宫肌瘤剔除术患者给予舒芬太尼+丙泊酚实施静脉麻醉,可显著提升麻醉效果,加快术后麻醉恢复,且安全性良好,值得临床推广。

Objective To analyze the value of sufentanil+propofol for intravenous anesthesia in patients undergoing laparoscopic myomectomy.Methods 56 patients with laparoscopic myomectomy were selected and divided into control group and experimental group according to random number table,with 28 cases in each group.The control group was given intravenous anesthesia with remifentanil and propofol,and the experimental group was given intravenous anesthesia with sufentanil and propofol.The anesthesia effect,anesthesia indexes and the occurrence of anesthesia adverse reactions were compared between the two groups.Results The excellent and good rate of anesthesia in experimental group was 100%,higher than 85.71%in control group,the difference was statistically significant(P<0.05).The time of tube extraction,recovery time of spontaneous respiration,recovery time of orientation and recovery time of awakening time of experimental group were shorter than those of control group,and the differences were statistically significant(P<0.05).The incidence of anesthesia adverse reactions in experimental group was 3.57%,lower than 21.43% in control group,and the difference was statistically significant(P<0.05).Conclusion Sufentanil+propofol for intravenous anesthesia in patients undergoing laparoscopic myomectomy can significantly improve the anesthetic effect and speed up postoperative anesthesia recovery,and it is safe and worthy of clinical promotion.