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羟考酮复合丙泊酚用于宫腔镜手术麻醉安全性和效果研究 被引量:3

Oxycodone combined with propofol for anesthetic effect and Safety of hysteroscopic surgery
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摘要 目的观察在宫腔镜手术麻醉中应用羟考酮符合丙泊酚的安全性和有效性。方法将本院在2016年1月~2017年1月期间收治的60例宫腔镜手术患者,按麻醉不同分为研究组与对照组,各30例。研究组应用羟考酮符合丙泊酚麻醉,对照组应用芬太尼符合丙泊酚麻醉,对比麻醉安全性和有效性。结果麻醉前,研究组与对照组的心率和动脉压对比,差异无统计学意义;麻醉后,研究组与对照组的心率和动脉压对比,差异有统计学意义(P<0.05)。对比研究组与对照组术中及术后不良反应情况,差异有统计学意义(P<0.05)。对比研究组与对照组术后5min、1h、2h的子宫宫缩的镇痛效果,有统计学意义(P<0.05)。结论在宫腔镜手术麻醉中应用羟考酮符合丙泊酚术中镇痛效果确切,术中呼吸抑制轻,对循环系统影响小,安全性高。 Objective To observe the application of oxycodone with the efficacy and safety of propofol anesthesia in hysteroscopic surgery.Methods60cases of hysteroscopic surgery in our hospital in January2016January2017were admitted during the period,according to the anesthesiawere divided into study group and control group,30cases in each.The study group used oxycodone with propofol the control group was treatedwith fentanyl anesthesia with propofol anesthesia effect and safety of anesthesia.Results Before anesthesia,study group and control group,heartrate and arterial pressure comparison,no statistically significant;after anesthesia,study group and control group,heart rate and arterial pressurecontrast,comparison was statistically significant.The study group and the control group of adverse reactions during and after the operation,therewas statistical significance.Compared with the control group,the analgesic effect of uterine contractions after5min,1h and2h in the contrast groupwas statistically significant.Conclusion The application of oxycodone analgesia with propofol in the operation is effective in hysteroscopic surgeryanesthesia,intraoperative respiratory depression,little effect on the circulatory system,high safety.
作者 姜娜 杨敏 JIANG Na;YANG Min(Department of Anesthesiology, Northwest Women and Children's Hospital, Xi'an 710061, China)
出处 《中国生化药物杂志》 CAS 2017年第9期211-212,共2页 Chinese Journal of Biochemical Pharmaceutics
关键词 宫腔镜手术 羟考酮 丙泊酚 安全性 手术效果 hysteroscopy surgery hydrocortisone propofol safety surgery effect
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