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目的探讨喷他佐辛复合异丙酚静脉麻醉用于宫腔镜电切术的麻醉效果。方法选择ASAⅠ～Ⅱ级的宫腔镜电切术患者60例,静脉注射喷他佐辛30 mg、异丙酚2 mg/kg后,改为异丙酚3mg/(kg.h)维持。手术全程监测血压(SBP/DBP)、心率(HR)、氧饱和度(SpO2)、呼吸抑制情况、停药至意识恢复时间及术后宫缩痛的发生情况。结果全手术过程中无记忆、无痛;在麻醉过程中SBP、DBP、HR、SpO2有不同程度下降(P<0.05),但均在正常范围内,且术后恢复至术前水平(P>0.05)。有5例发生呼吸抑制。结论喷他佐辛复合异丙酚静脉麻醉用于宫腔镜电切术具有麻醉效果好,术后苏醒快,有效抑制术后宫缩痛的优点,但术中要加强监测,及时处理。
Objective To investigate the anesthetic effect of pentazocine combined propofol intravenous anesthesia for hysteroscopic electrotomy. Methods Sixty ASA Ⅰ ~ Ⅱ patients underwent hysteroscopic electrosurgical resection. After intravenous injection of pentazocine 30 mg and propofol 2 mg / kg, propofol was maintained at 3 mg / (kg.h). Surgical operation monitored blood pressure (SBP / DBP), heart rate (HR), oxygen saturation (SpO2), respiratory depression, withdrawal to consciousness recovery time and postoperative contractions pain. Results There was no memory and pain during the operation. The SBP, DBP, HR and SpO2 decreased during anesthesia (P <0.05), but all were within the normal range and recovered to preoperative level (P> 0.05). Respiratory depression occurred in 5 patients. Conclusions The combination of pentazocine and propofol intravenous anesthesia for hysteroscopic resection has the advantages of good anesthetic effect, rapid recovery after surgery and effective suppression of postoperative uterine contractions. However, intraoperative monitoring and timely treatment should be strengthened.