丙泊酚联合舒芬太尼用于宫腔镜检查手术临床观察.doc

丙泊酚联合舒芬太尼用于宫腔镜检查手术临床观察摘 要 目的：探讨应用丙泊酚联合舒芬太尼静脉麻醉开展门诊宫腔镜检查手术的安全性和有效性。方法：将100例宫腔镜检查患者随机分为A、B两组，A组单纯丙泊酚50例，B组丙泊酚联合舒芬太尼组50例。观察比较两组术中平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO?2)变化，记录丙泊酚用药量、扭动次数、术后宫缩痛发生率及评分、离院时间及其他不良反应。结果：两组MAP、HR、SPO?2与术前比较差异有显著性(P＜0.05)，而且组间比较差异也有显著性(P＜0.05)。丙泊酚用量A组明显较B组多(P＜0.01)。术中患者扭动次数：B组低于A组(P＜0.05)。术后宫缩痛发生率：B组低于A组(P＜0.01)。离院时间：B组短于A组(P＜0.01)。两组不良反应发生率相比较差异无显著性(P＞0.05)。结论：丙泊酚联合舒芬太尼静脉麻醉用于宫腔镜检查手术，丙泊酚用量小、镇痛效果好、苏醒快，不良反应发生率低。? 关键词 舒芬太尼 丙泊酚 宫腔镜检查术? doi:10.3969/j.issn.1007-614x.2012.02.164?? Abstract Objective:to study the application of sufentanil phenol joint tabor c,in outpatient service intravenous anesthesia too hysteroscopic inspection of the safety of the operation and effectiveness.Methods:100 patients with hysteroscopy check A and B patients were randomly divided into two groups,A group of simple c 50 cases tabor phenol,group B c phenol,sufentanil tabor joint too group 50 cases.Watch compared between the two groups during the mean arterial pressure (MAP),heart rate (HR),blood oxygen saturation(SpO?2)change,record tabor phenol,the twist drug a c number,perioperative temple shrinkage rate and score,pain from court time and other harmful response.Results:Two groups of MAP,HR,SPO?2 and preoperative comparative differences have significant(P＜0.05),and comparative differences between groups also have significant(P＜0.05).Cpoisson phenolic dosage group A significantly better than more than group B (P＜0.01).Patient twist of The Times:group B below A group (P＜0.05).Art temple shrinkage rate pain: group B below A group (P＜0.01).The time of departure from the hospital:group B in group A short(P＜0.01).Two groups of adverse reaction rate compred to no significantdifference(P＞0.05).Conclusion:c phenol,sufentanil tabor joint too intravenous anesthesia for hysteroscopy inspection operation,c poisson phenolic dosage is small,analgesic effect is good,round fast,adverse reactions are relatively low.? Key Words Sufentanil；Phenol;Hysteroscopy c to tabor check method?? 本