摘要
目的:探讨罗哌卡因复合舒芬太尼硬膜外麻醉在腹腔镜卵巢囊肿切除术中的应用效果。方法:选取90例需行腹腔镜卵巢囊肿切除术的患者,随机分为对照组和观察组各45例,观察组采用罗哌卡因复合舒芬太尼硬膜外麻醉,对照组采用罗哌卡因硬膜外麻醉,观察两组患者术前、术中及术后BP、HR、SPO2等生理指标变化,比较两组不良反应。结果:术前两组HR、SPO2和MAP参数比较无差异(P>0.05);术中两组HR、SPO2和MAP参数低于术前(P<0.05),且观察组低于对照组(P<0.05);术后两组HR、SPO2和MAP参数与术前比较无差异(P>0.05);观察组清醒时间、拔管时间及VAS评分优于对照组(P<0.05);两组手术时间比较无统计学差异(P>0.05);两组患者术后均未出现其它严重不良反应。结论:罗哌卡因复合舒芬太尼硬膜外麻醉用于腹腔镜卵巢囊肿切除术,可显著改善术中主要指标参数,提高麻醉效果,且安全性较好,具有较好的临床应用价值。
Objective： To explore the effect of Ropivaeaine combined with Sufentanil for epidural anesthesia in patients with laparoscopic ovarian cyst resection. Method：90 patients with laparoscopic ovarian cyst resection were randomly assigned to the observation group （Ropivacaine combined with Sufentanil for epidural anesthesia） and control group （Ropivacaine only for epidural anesthesia）, and each group had 45 patients. BP, HR, SPO2 and other physiological changes of patients in two groups had been observed before operation, during operation and postoperative. Side effects had also been compared between the two groups. Result：Before operation, HR, SPO2 and MAP parameters of the patients in two groups had no significant difference （P〉0.05）. During operation, HR, SPO2 and MAP parameters of pa- tients both in two groups were significant lower than those of them before operation（P〈0.05）, and HR, SPO2 and MAP parameters of patients in observation group were significant lower than those of patients in control group（P〈0.05）. There was no statistically significant difference of HR, SPOz and MAP parameters between the two groups postoperative （P〉0.05）. The awake time, extubation time and VAS score of patients in observation group were sig nificant better than those of patients in control group （P〈0.05）, but There was no statistically significant difference of operation time between the two groups postoperative （P〉0.05）. The patients in two groups had no any serious adverse reactions. Conclusion： Ropivacaine combined with sufentanil for epidural anesthesia in patients with laparoscopic ovarian cyst resection can significantly improve the main parameter, enhance anesthetic effect, and has well safety, so it has favorable clinical value to use.
出处
《中国计划生育学杂志》
2016年第9期614-616,共3页
Chinese Journal of Family Planning
