骶管阻滞与静脉麻醉用于宫腔镜检查的比较研究
摘要:目的比�^骶管阻滞与静脉麻醉用于宫腔镜检查的麻醉效果,对血流动力学的影响。方法选择非住院行宫腔镜检查100例,随机分为两组,C组:经骶管注入%盐酸罗哌卡因注射液7 ml+2%盐酸利多卡因注射液 ml+枸橼酸舒***注射液μg/kg+%***化钠注射液 ml混合液共计25 ml;I组:枸橼酸舒***注射液~ μg/kg、丙泊酚注射液~ mg/kg复合静脉麻醉。观察并记录患者麻醉起效时间、镇痛持续时间、平均动脉压、心率、血氧饱和度、宫颈松弛情况、术后2 h内镇痛效果、镇痛药物使用情况及不良反应发生的情况和麻醉费用。结果 C组和I组有效镇痛率均在90%以上,I组患者麻醉起效时间、镇痛持续时间短于C组,P<。I组较C组平均动脉压、心率、血氧饱和度波动明显,P<。C组较I组患者宫颈松弛好,P<。术后VAS评分在术后30 min及术后1 h时I组患者明显高于C组,P<。I组患者麻醉费用较C组患者麻醉费用高, P<。结论骶管阻滞麻醉镇痛效果确切,对血流动力学影响轻微,宫颈松弛好,更加安全可靠及费用低等优点,值得在基层医院推广。
关键词:骶管阻滞;静脉麻醉;宫腔镜检查;罗哌卡因
中图分类号:R614;R445 文献标识码:A 文章编号:1006-195924-0037-04
Comparative Study of Sacral Block and Intravenous Anesthesia for Hysteroscopy
LV Zhong-jie,CUI Bao-juan,SHEN Hong-bo,MIAO Guo-qing
Abstract:Objective pare the sacral block anesthesia and intravenous anesthesia for hysteroscopy,effects on Outpatient hysteroscopy in 100 cases,were randomly divided into two groups,group C :Intraperitoneal injection of % Ropivacaine hydrochloride injection 7 ml+2% lidocaine hydrochloride injection ml+sufentanyl citrate injection μg/kg+% sodium chloride injection ml mixed Fluid total of 25 ml;Group I:citrate sufentanil injection ~ μg/kg,propofol injection ~ mg/bined intravenous and record the onset time,duration of analgesia,mean arterial pressure,heart rate,oxygen saturation, cervical relaxation,analgesia effect within 2 h after operation,the use of analgesic drugs and the adverse re
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