丙泊酚、芬太尼注射液复合咪达唑仑静脉麻醉在90例妇产科门诊手术中的应用

摘要

Objective To investigate the value and safety of propofol combined with fentanyl and midazolam,in obstetrics and gynecology outpatient operation.Methods Selected 90 cases of ASAⅠ~Ⅱwere randomly divided into control group and observation group to receive gynecological obstetrics and gynecology surgery. Control group were given midazolam,fentanyl,propofol and observation group used fentanyl combined with propofol. Observed the complication of two groups.ResultsTwo groups of patients were not there intraoperative awareness. Significantly reducing the number of aspects of hypotension and respiratory depression in control group compared with observation group and the dosage of propofol was significantly reduced during anesthesia. This result was significant differences and exist statistically significant(P<0.05). ConclusionPropofol combined with fentanyl,midazolam used in gynecology outpatient operation was more safe and effective comparedwith only fentanyl and propofol.%目的对进行妇产科门诊手术治疗的患者分组采取不同方法麻醉，研究丙泊酚+芬太尼+咪达唑仑在妇产科门诊手术中的应用价值及安全性。方法选择90例 ASAⅠ～Ⅱ级要求在无痛下实施妇产科门诊手术的患者随机分为对照组和观察组，对照组采取小剂量咪达唑仑、芬太尼以及丙泊酚联合静脉麻醉，观察组采取芬太尼和丙泊酚静脉麻醉，并对所有患者进行麻醉后实施妇产科门诊手术的并发症情况分析。结果两组患者均未出现术中知晓。对照组相对于观察组来说，在患者出现血压降低以及呼吸抑制的方面少，而麻醉过程中丙泊酚用量也减少，差异具有统计学意义（P＜0.05）。结论丙泊酚、芬太尼复合小剂量咪达唑仑用于妇产科门诊手术中的麻醉较丙泊酚复合芬太尼更安全有效。