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舒芬太尼复合异丙酚靶控输注在宫腔镜手术中的应用
引用本文:杨世辉,胡祖荣,陈祥楠,黄希照,黎昆伟,苏丹晨.舒芬太尼复合异丙酚靶控输注在宫腔镜手术中的应用[J].国际医药卫生导报,2011,17(10):1211-1215.
作者姓名:杨世辉  胡祖荣  陈祥楠  黄希照  黎昆伟  苏丹晨
作者单位:广东省妇幼保健院麻醉科,广州,510010
摘    要:目的 观察静脉注射舒芬太尼复合异丙酚靶控输注在官腔镜手术中的效果和安全性.方法 选择60例ASA Ⅰ~Ⅱ级宫腔镜手术患者,随机分为舒芬太尼复合异内酚靶控输注组(S组),芬太尼复合异丙酚靶控输注组(F组)和异丙酚靶控输注组(P组),每组20例.观察三组患者MAP、HR、SpO,、RR,术中体动、术后睁眼时间和定向力恢复时...

关 键 词:舒芬太尼  异丙酚  靶控输注  宫腔镜手术

Study on Sufentanil combined with target controlled infusion of propofol for hysteroscope Operation
YANG Shi-hui,HU Zu-rong,CHEN Xiang-nan,HUANG Xi-zhao,LI Kun-wei,SU Dan-chen.Study on Sufentanil combined with target controlled infusion of propofol for hysteroscope Operation[J].International Medicine & Health Guidance News,2011,17(10):1211-1215.
Authors:YANG Shi-hui  HU Zu-rong  CHEN Xiang-nan  HUANG Xi-zhao  LI Kun-wei  SU Dan-chen
Institution:YANG Shl-hui, HU Zu-rong, CHEN Xiang-nan, HUANG Xi-zhao, LI Kun-wei, SU Dan-ehen.(Department of Anesthesiology, Guangdong Maternal and Child Care Service Centre, Guangzhou510010, China)
Abstract:Objective To evaluate the efficacy and safetv of Sufentanil combined wiIh target controlled infusion of propofol for hysteroscope operation.Methods 60 patients of ASA Ⅰ~Ⅱundergoing Hysteroscope operation were randomly divided into three,groups.In group S,patients were anesthetized with Sufentanil(0.1ug/kg)and target controlled infusion of Propofol(3 ug/ml),in group F,patients were anesthetized with fentanyl(lug/kg)and target controlled infusion of Propofol(3 ug/ml),in group P,patients were anesthetized with target controlled infusion of Propofol(5 ug/ml).HR,MAP,SpO2,were continuously monitored.The dosage of Propofol,limb movements,waking time,orientation recovery time were recorded.Results MAP and HR were significantly higher in group P than the rest during intraoperative period(P<0.05).The dosage of Propofol and the incidence of limb movements was reduced in group S and group F(P<0.05)The waking time was(3.2±1.6)min,(4.8±1.3)min,(5.0±1.8)min in group S,group Fand group P'respectively(P<0.05).The orientation reovery time Was(4.1±1.5)min,(5.9±3.2)min,(7.6 4-2.2)min in group S.group F and group P,respectively(P<O.05).Conduaitm Sufentanil combined with target controlled infusion of propofol could offer a good sedation/analgesia during hysteroscope operation without significant side effects.
Keywords:Sufentanil  Propofol  Target Controlled infusion  Hysteroscope operation
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