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目的探讨瑞芬太尼清醒镇静用于妇科门诊手术的临床效果。方法选择60例妇科门诊手术患者,将其分为2组,实验组为清醒镇静,静脉滴注瑞芬太尼;对照组为深度镇静,予以丙泊酚静脉缓慢推注。比较2组的镇痛效果和生命体征的变化,以及麻醉诱导时间、手术时间和清醒时间。结果实验组与对照组患者术中平均动脉压较术前均有短暂小幅下降,实验组下降较明显(P<0.01),但大多仍在正常范围。2组镇痛效果及手术时间无明显差异(P均>0.05);实验组诱导时间及清醒时间快于对照组,差异有统计学意义(P均<0.01)。结论瑞芬太尼清醒镇静用于妇科门诊手术,不仅有良好的镇痛效果,而且其镇静程度浅,不良反应少,值得推广。
Objective To investigate the clinical effect of remifentanil conscious sedation in gynecological clinic. Methods Sixty gynecological outpatients were selected and divided into two groups. The experimental group was awake and intravenous infusion of remifentanil. In the control group, the patients were deeply sedated and propofol was bolted slowly. The analgesic effects and changes of vital signs in two groups were compared, as well as induction time, operation time and awake time. Results The mean arterial pressure in the experimental group and the control group decreased slightly compared with that before the operation. The decrease in the experimental group was more obvious (P <0.01), but most of them were still in the normal range. There was no significant difference between the two groups in analgesic effect and operation time (P> 0.05). The induction time and awake time in experimental group were faster than those in control group (P <0.01). Conclusion Remifentanil conscious sedation for gynecological outpatient surgery, not only has a good analgesic effect, and its less sedation, less adverse reactions, it is worth promoting.