羟考酮复合丙泊酚在宫腔镜手术麻醉中的应用效果

徐珊珊

[摘要]目的 探讨羟考酮复合丙泊酚在宫腔镜手术麻醉中的应用效果，为临床麻醉医师选择合理麻醉方案提供参考。方法 选取2018年1月～2019年12月辽宁省健康产业集团铁煤总医院收治的70例行宫腔镜手术治疗患者作为研究对象，依据随机数字表法分为对照组和观察组，每组35例。对照组采用常规麻醉方法，观察组采用羟考酮复合丙泊酚麻醉。比较两组的心率、平均动脉压、术后疼痛感及不良反应发生率。结果 两组麻醉前及苏醒时的心率及平均动脉压比较，差异无统计学意义（P>0.05）;观察组术后各时间节点的疼痛感评分均低于对照组，差异有统计学意义（P<0.05）;观察组的不良反应总发生率低于对照组，差异有统计学意义（P<0.05）。结论 羟考酮复合丙泊酚用于宫腔镜手术的临床麻醉效果明确，术后镇痛效果维持较好，且不良反应发生率低，应用效果显著。

[关键词]宫腔镜手术;羟考酮;丙泊酚;复合麻醉;麻醉效果;不良反应

[中图分类号] R614          [文献标识码] A          [文章编号] 1674-4721（2020）7（b）-0150-03

Clinical effect of Oxycodone combined with Propofol in hysteroscopic anesthesia

XU Shan-shan

Department of Anesthesiology， Tiemei General Hospital of Liaoning Health Industry Group， Liaoning Province， Tieling   112700， China

[Abstract] Objective To explore the clinical effect of Oxycodone combined with Propofol in hysteroscopic anesthesia， and to provide reference for clinical anesthesiologists to choose a reasonable anesthesia regimen. Methods From January 2018 to December 2019， 70 patients who received hysteroscopic surgery in Tiemei General Hospital of Liaoning Health Industry Group were selected as the study objects. According to the random number table method， the study objects were divided into the control group and the observation group， 35 cases in each group. The control group was anesthetized with routine anesthesia， the observation group was anesthetized with Oxycodone and Propofol. The heart rate， mean arterial pressure， postoperative pain and adverse reactions were compared between the two groups. Results There was no significant difference in the heart rate and mean arterial pressure between the two groups before anesthesia and when consciousness-regaining （P>0.05）. The pain scores at each time point in the observation group were lower than those in the control group， and the differences were statistically significant （P<0.05）. The total incidence of adverse reactions in the observation group was lower than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion The clinical anesthesia effect of Oxycodone combined with Propofol in hysteroscopic surgery is clear， the postoperative analgesia effect is good， and the adverse reaction rate is low， the application effect is significant.

[Key words] Hysteroscopic surgery; Oxycodone; Propofol; Compound anesthesia; Anesthesia effect; Adverse reactions

婦产科常见的宫腔镜手术应用较为广泛，其可以在短时间内对患者开展检查与治疗。但在短时间内开展此手术需要配合有效的麻醉深度，以保证手术顺利完成[1]。目前，宫腔镜手术临床多采用静脉全身麻醉方式，其能够为患者提供良好的镇静与镇痛效果，但此方法易出现不良反应，增加机体应激反应，手术风险较高[2]。随着临床对宫腔镜手术的深入研究，发现应用羟考酮复合丙泊酚麻醉措施不仅可以稳定患者气血指标，还可减轻应激反应，保证在短时间内完成手术[3-4]。本研究旨在进一步探讨羟考酮复合丙泊酚在宫腔镜手术中的临床麻醉效果及安全性，为临床麻醉医师选择合理麻醉方案提供参考，现报道如下。