摘要
目的:探讨不同剂量羟考酮在宫腔镜术麻醉效果及对寒战、宫缩痛的预防效果。方法:将145例宫腔镜手术患者分为A组(71例)及B组(74例),A组静脉注射丙泊酚3 min前静脉注射羟考酮0. 1 mg/kg,B组静脉注射羟考酮0. 15 mg/kg,再使用微量泵泵注丙泊酚维持麻醉,观察麻醉效果及不良反应,对比两组T0-T3时的MAP、SpO_2及HR。结果:A组苏醒时间低于B组(P <0. 05),丙泊酚用量高于B组(P <0. 05); T1、T2时,B组SpO_2及HR低于A组(P <0. 05),A组的呼吸抑制、恶心呕吐发生率低于B组(P <0. 05)。结论:0. 1 mg/kg羟考酮使血流动力学更为平稳,可满足宫腔镜术中、术后的镇痛需求。
Objective： To explore different doses of oxycodone in anesthetic effect of hysteroscopic surgery and preventive effect of chills and uterine contraction pain. Methods： 145 cases of hysteroscopic surgery were selected and divided into Group A （71 cases） and Group B （74 cases）. The patients in Group A were treated with intravenous 0.1 mg/kg oxycodone before intravenous propofol for 3 min. The patients in Group B were treated with intravenous 0.15mg /kg oxycodone and then pumped propofol to maintain anesthesia by micropump. The anesthetic effects and adverse reactions were observed, and the MAP, SpO 2 and HR in the two groups were compared from T0 to T3. Results： The waking time of Group A was shorter than that of Group B; the propofol consumption in Group A was higher than that in group B （ P 〈0.05）; at T1 and T2, SpO 2 and HR in Group B were lower than those in Group A （ P 〈0.05）. The incidence of respiratory depression and nausea and vomiting in Group A was lower than that in Group B （ P 〈0.05）. Conclusion： 0.1 mg/kg oxycodone makes hemodynamics more stable, and can meet the demand for analgesia during and after hysteroscopy.
作者
魏育洁
WEI Yujie(Zhengzhou Central Hospital,Henan,Zhengzhou 450000,China)
出处
《包头医学院学报》
CAS
2018年第10期74-75,共2页
Journal of Baotou Medical College
关键词
剂量
羟考酮
宫腔镜术
效果
Doses
Oxycodone
Hysteroscopic surgery
Effect
