中国社区医师2016，Vol.32Issue(28)：55-56,58,3.DOI:10.3969/j.issn.1007-614x.2016.28.32
依托咪酯与丙泊酚分别联合瑞芬太尼应用于宫腔镜手术麻醉效果的比较
Comparison of anesthetic effect of etomidate and propofol separately combined with remifentanil in hysteroscopic surgery
摘要
Abstract
Objective:To compare the anesthetic effect of etomidate and propofol separately combined with remifentanil in hysteroscopic surgery.Methods:80 female patients with hysteroscopic surgery were selected.They were randomly divided into the etomidate-remifentanil(ER) group and the propofol-remifentanil(PR) group with 40 cases in each.The systolic blood pressure(SBP) and diastolic blood pressure(DBP),HR, SpO2 and intraoperative BIS value,induction time,operation time, postoperative recovery time,directional force recovery time were recorded before operation(T1),during operation(T2) and when waking up(T3).The intraoperative adverse reactions and postoperative complication incidence rate were observed.Results:The intraoperative systolic blood pressure(SBP) of ER group was lower than that before operation(P<0.05).The intraoperative and postoperative SBP、DBP and intraoperative HR,SPO2 of PR group were lower than those before operation(P<0.05).The induction time and hypoxia incidence rate of ER group were lower than those of PR group(P<0.05);the incidence rate of muscle tremor was higher than that of PR group;the recovery time and the directional force recovery time of ER group were significantly shorter(P<0.05).There was no significant difference in the incidence rate of BIS value,operation time,postoperative dizziness,nausea,vomiting and other adverse reactions between groups(P>0.05).Conclusion:In hysteroscopic surgery,the adverse reaction of application of etomidate-remifentanil anesthesia was significantly lower than that of propofol-remifentanil anesthesia.关键词
依托咪酯/丙泊酚/瑞芬太尼/宫腔镜手术/麻醉Key words
Etomidate/Propofol/Remifentanil/Hysteroscopic surgery/Anesthesia引用本文复制引用
许秀艺,姚向国..依托咪酯与丙泊酚分别联合瑞芬太尼应用于宫腔镜手术麻醉效果的比较[J].中国社区医师,2016,32(28):55-56,58,3.
