| 摘要: |
| ［摘要］ 目的 探讨丙泊酚联合舒芬太尼对腹腔镜子宫肌瘤剔除术的镇痛、苏醒及不良反应的影响．方法 采用回顾性分析法，选取承德市丰宁满族自治县县医院2014年3月至2015年6月期间收治的100例子宫肌瘤患者的临床资料，患者分为治疗组（50例）和对照组（50例）；治疗组患者采用丙泊酚联合舒芬太尼进行治疗，对照组患者采用单独的丙泊酚进行治疗，观察2组患者镇痛效果，术后苏醒时间、呼吸恢复时间、定向力恢复时间以及患者术后不良反应率．结果 经过观察发现术后镇病效果，治疗组比对照组好，差异有统计学意义（P＜0.05）；治疗组患者定向力恢复时间、术后苏醒时间以及呼吸恢复时间等指标显著低于对照组患者的这些指标，差异有统计学意义（P＜0.05）；而且不良反应率，治疗组比对照组低，差异有统计学意义（P＜0.05）．结论 丙泊酚联合舒芬太尼应用于腹腔镜子宫肌瘤剔除术中具有较好的镇痛效果，不仅能够缩短患者苏醒时间、定向力恢复时间等，同时能够有效降低患者不良反应发生率，值得在临床上推广应用． |
| 关键词: ［关键词］ 丙泊酚 舒芬太尼 腹腔镜子宫肌瘤剔除术 镇痛 苏醒 不良反应 |
| DOI： |
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| 基金项目:［基金项目］ 安徽省临床重点专科基金资助项目（01P38） |
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| The Effect of Propofor Combined with Shufen on Analgesia，Analepsia and Adverse Reactions of Laparoscopic Myomectomy |
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LIU Qing－hua1,2
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1.（1）Dept. of Anesthesiology，Fengning Manchu Autonomous County Hospital of Chengde City，Hebei Province，Chengde Hebei 068350;2）Dept. of Anesthesiology，Wuhu No.2 People’s Hospital，Wuhu Anhui 241000，China）
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| Abstract: |
| ［Abstract］Objective To investigate the effect of propofor combined with ShuFen on analgesic， analepsia and adverse reactions of laparoscopic myomectomy. Methods A retrospective analysis method was used to analyze the clinical data of 100 patients with hysteromyoma from March 2014 - June 2015，and the enrolled 100 patients were randomly divided into observation group（50 cases）and control group（50 cases）. Patients in the observation group were treated by propofol combined ShuFen treatment, and patients in the control group were treated by single propofol treatment. Then we observed the analgesic effect，waking time after operatioon, breathing recovery time, orientation recovery time and the incidence of adverse reactions of patients in two groups. Results Through the observation，we found that there was a statistically significant difference in the postoperative analgesia effect between the observation group and the control group（P < 0.05）. The orientation recovery time and postoperative awakening time and respiratory recovery time in the observation group were significantly lower than those in the control group（P < 0.05）. There was a statistically significant difference in the incidence of adverse reaction between the control group and observation group（P < 0.05）. Conclusion Propofol combined with ShuFen has good analgesic effect in laparoscopic uterine fibroids rejecting operation，it can not only shorten the patients' consciousness recovery time and the orientation recovery time，but also can effectively reduce the incidence of adverse reactions in patients at the same time，so it is worth popularization and application in clinic. |
| Key words: ［Key words］Propofol Sufentanil Laparoscopic uterine fibroids rejecting operation Analgesia Analepsia Adverse reactions |