瑞芬太尼丙泊酚靶控静脉麻醉用于妇科腹腔镜手术的效果评价

目的评价瑞芬太尼和丙泊酚全静脉麻醉用于妇科腹腔镜手术的诱导、维持和术后苏醒过程。方法ASAⅠ～Ⅱ级妇科腹腔镜手术患者60例,分为瑞芬太尼丙泊酚血浆靶控输注组（TCI组）和静吸复合全麻组（G组）,每组30例,记录两组各时段平均动脉压（MVP）、心率（HR）及术毕患者苏醒过程中各时段所需时间,观察患者拨管后各时段的意识状况、术后并发症及满意度。结果TCI组各时段血流动力学较G组平稳;在苏醒过程中,自主呼吸、睁眼、拔管、定向力恢复及离开恢复室时间TCI组明显短于G组;术后各时段意识恢复程度（OAA/S）评分TCI组明显高于G组（P〈0.05）。两组均无术中知晓。结论瑞芬太尼复合丙泊酚靶控全静脉麻醉用于妇科腹腔镜手术,苏醒迅速,清醒质量高,术中血流动力学稳定,优于常规的静吸复合全麻。

Evaluation of target controlled infusion remifentanil and propofol on gynecologic laparoscopy operation

Objective The purpose of this study is to evaluate the clinical efficacy of remifentanil combined with propofol in the course of anesthesia induction and analepsia. Methods 60 ASAⅠ～Ⅱpatients undergoing gynecologic laparoscopy were randomly divided into two groups：TCI group （total intravenous anesthesia,n = 30） and G group （intravenous combined inhalation anesthesia,n = 30）. Mean arterial pressure（MAP） and heart rate（HR） were observed at the time of anesthesia induction,tracheal intubation,the time of spontaneously breathing,awakeness,and post extubation were recorded; we observed the patient of conscious state,post-operative complications and the degree of patients＇ satisfaction. Results The hemodynamics of TCI group was more stable than that of G group. During the process of awakeness,the time of spontaneously breathing,awakeness and extubation,restoration of orientation and departing PACU in TCI group were shorter than that in G group; the postoperation OAAS score in TCI group was higher than that in G group. Conclusions Awake qualily of intravenous anesthesia with Propofol and remifentanil was better than that with Intravenous Combined Inhalation Anesthesia undergoing gynaecologic laparoscopy.