摘要
目的对比瑞芬太尼或舒芬太尼全凭麻醉应用于妇科腹腔镜手术的麻醉特点。方法选择妇科腹腔镜手术患者80例,分为2组,瑞芬组40例实施全凭瑞芬太尼静脉麻醉,舒芬组40例实施全凭舒芬太尼静脉麻醉,比较2组在诱导前、诱导后、插管、气腹、术毕5个阶段心率、平均动脉压的变化情况,记录2组在苏醒时间、拔管时间、术后24 h疼痛、排气时间及术后并发症等方面的差异。结果患者心率、平均动脉压变化趋势和幅度无明显差别(P>0.05),患者苏醒时间、拔管时间瑞芬组优于舒芬组(P<0.01),术后24 h疼痛舒芬组较瑞芬组轻(P<0.01),排气时间、不良反应无明显差异(P>0.05)。结论舒芬太尼和瑞芬太尼用于妇科腹腔镜手术均能取得良好的麻醉效果,两者对血流动力学的影响基本一致,瑞芬太尼在恢复方面优于舒芬太尼,而舒芬太尼具有更强的术后镇痛。
Objective To compare the characteristics of remifentanil and sufentanil for tracheal intubation general anesthesia in gyneco-logical laparoscopic operation. Methods 80 patients received gynecological laparoscopic operation were randomly divided into the remifen-tanil group and the sufentanil group with 40 patients in each group, and they were performed total intravenous anesthesia with remifentanil or sufentanil respectively. Compare the changes of heart rate, mean arterial pressure in the two groups before and after induction, at the time of intubation, pneumoperitoneum, and after the operation. And differences in two groups were recorded in the recovery time, extubation time, postoperative pain in 24 hours, exhaust time and postoperative complications. Results Change trend and magnitude in heart rate, mean ar-terial pressure had no significant difference in the two groups （P〉0. 05）. The recovery time, extubation time in remifentanil group was shor-ter （P〈0. 01）, postoperative pain in 24 hours in sufentanil group was more mild （P〈0. 01）. Exhaust time and postoperative complications of the two groups had no significant difference （P〉0. 05）. Conclusion Remifentanil and sufentanil used in gynecological laparoscopic op-eration can achieve good effect. and effects of the two drugs on hemodynamics were similar. Remifentanil can recieve better effect in terms of recovery time, while sufentanil has better postoperative analgesia effect.
出处
《局解手术学杂志》
2015年第1期52-55,共4页
Journal of Regional Anatomy and Operative Surgery
关键词
瑞芬太尼
舒芬太尼
全凭静脉麻醉
腹腔镜妇科手术
remifentanil
sufentanil
total intravenous anesthesia
gynecologic laparoscopic operation
