Abstract：Objective To explore anesthesia effect and resuscitation quality of remimazolam combined with sufentanil on patients undergoing hysteroscopy.Methods 118 cases undergoing hysteroscopywere included as the research subjects,and they were divided into remimazolam group and propofol group according to the random number table,with 59 cases in each group.The patients in the remimazolam group were treated with remimazolam combined with sufentanil,while those in the propofol group were treated with propofol combined with sufentanil.The mean arterial pressure,heart rate,Oxygen saturation and respiratory rate of the two groups at different time points were compared.The induction time,operation time,awakening time and recovery time,the grade of anesthesia efficacy,the scores of BCS and anesthesia satisfaction in each group were recorded.The adverse reactions in each group were counted.Results Compared with T0,the MAP,RR at T1,T2 and T3 in two groups were decreased（P<0.05）,The HR of propofol group at T1,T2 and T3 showed a downward trend（P<0.05）,and the HR of remimazolam group at T1 was mild increased（P<0.05）,There was a transient decrease in SpO2 at T1 and T2 in two groups（P<0.05）.Compared with the propofol group,the MAP,HR and RR of remimazolam group at T1,T2 and T3decreased less,the differences were statistically significant（P<0.05）,There was no significant difference in SpO2 at each time point between the two groups（P>0.05）.There was no significant difference in the effect of therapy,BCS and anesthesia satisfaction score between the two groups（P>0.05）.Compared with the remimazolam group,the incidence of injection pain and gloss optosis was significant lower than in the propofol group,less jaw thrust and assisted ventilation were required,the differences were statistically significant（P<0.05）.One case of intraoperative awareness was reported in the propofol group.Conclusion Remimazolam combined with sufentanilis safe and effective on patients undergoing hysteroscopy,with more stable vital signs and fewer adverse reactions,and can significantly improvethe quality of resuscitation,the satisfaction with anesthesia is high,it is worthy of promotion.
2023, Vol. 43 
