陈　敏　任静华四川省宜宾市第二人民医院麻醉科，四川宜宾　644000

不同麻醉方式在宫腔镜电切术中的应用效果

陈敏任静华
四川省宜宾市第二人民医院麻醉科，四川宜宾644000

目的研究不同麻醉方式在宫腔镜电切术中的效果，以便选择较佳的麻醉方式。方法选取2014年7月～2015年11月于我院行宫腔镜电切术的76例患者，随机均分为对照组和观察组。对照组给予丙泊酚麻醉，观察组给予地佐辛复合丙泊酚麻醉，比较两组的麻醉起效时间、术后睁眼时间、术后定向力恢复时间、术后意识恢复时间、疼痛程度及并发症情况。结果两组的麻醉起效时间比较差异无统计学意义（P＞0.05），而观察组的术后睁眼时间、定向力恢复时间及意识恢复时间明显短于对照组（P＜0.05）。观察组于清醒后10 min、20 min及30 min的视觉VAS评分明显低于对照组（P＜0.05）。观察组的并发症率为7.89%，明显低于对照组的23.68%（P＜0.05）。结论地佐辛复合丙泊酚在宫腔镜电切术中的麻醉效果较好，能够使患者快速苏醒、恢复意识，降低并发症。

丙泊酚；地佐辛；麻醉；宫腔镜电切术

［Abstract］Objective To study the c1inica1 effect of different anesthesia in hysteroscopic surgery，in order to se1ect preferred anesthesia.Methods A tota1 of 76 cases of hysteroscopic surgery patients who were treated in our hospita1 from Ju1y 2014 to November 2015 were random1y divided into the contro1 group and observation group.The contro1 group was received propofo1，whi1e the observation group was received dezocine and propofo1.The onset time，opening eyes surgery，postoperative orientation recovery time，postoperative recovery time of consciousness，pain and comp1ications were compared between the two groups.Results The onset time of anesthesia of two groups were not significant1y different（P＞0.05），but the times of the opening eyes，orientation recovery and recovery of consciousness in observation group were significant1y shorter than those in the contro1 group（P＜0.05）.The visua1 VAS scores after waking 10 min，20 min and 30 min of the observation group were significant1y 1ower than those in the contro1 group（P＜0.05）.The comp1ications of observation group was 7.89%，was significant1y 1ower than 23.68%of the contro1 group（P＜0.05）.Conclusion The anesthesia of dezocine and propofo1 in hysteroscopic surgery is better，can make patients quick1y wake up and recover consciousness，as we11 as reduce comp1ications.

［Key words］Propofo1；Dezocine；Anesthesia；Hysteroscopic surgery

丙泊酚是宫腔镜电切术最常用的静脉麻醉药之一，其在麻醉过程中起效快、恢复迅速，多采用人工控制输注给药［1-4］。但丙泊酚镇痛效果不够完善，常依靠增加剂量维持，术后子宫持续宫缩所诱发的宫缩痛发生率较高［5］。Hang LH等［6］证实，地佐辛具有较好的脂溶性，易穿过血脑屏障，其麻醉的镇痛效果是其他镇痛药物7倍多。近年来，地佐辛在宫腔镜电切术中应用广泛，并取得较好的镇痛效果［7］。……