阿芬太尼联合环泊酚在妇科宫腔镜手术中的麻醉效果及对术后复苏的影响

doi:10.3969/j.issn.1001-8131.2025.06.009

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (574 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the anesthetic effect of alfentanil combined with propofol in gynecological hysteroscopic surgery and its influence on postoperative recovery. Methods According to the inclusion and exclusion criteria,82 patients who underwent gynecological hysteroscopic surgery were selected as the research subjects and a grouped controlled study was conducted on them.The grouping method was the random number table method,and they were divided into two groups,namely the control group and the observation group,with 41 cases in each group.The control group was given alfentanil combined with propofol anesthesia.The observation group was anestheted with alfentanil combined with cyclopofol during the operation.The anesthesia effects,vital signs,quality of anesthesia recovery,sedation and analgesia before and after the operation,cognitive conditions and the incidence of adverse reactions were compared between the two groups. Results The excellent and good rate of anesthesia in the observation group was higher than that in the control group(P<0.05).The heart rate(HR)and mean arterial pressure(MAP)of the two groups at 3 minutes after administration(T1)and during cervical dilation(T2)were lower than those at the T0 time point(P<0.05),and there was no statistical difference in HR and MAP at different time points between the two groups(P>0.05).The anesthesia induction,orientation recovery,eye opening and breathing recovery time in the observation group were shorter than those in the control group(P<0.05).The scores of the Alert/Sedation observation group(OAA/S)and the Mini-Mental State Examination(MMSE)6 hours after the operation in the observation group were higher than those in the control group.The Visual Analogue Scale(VAS)for pain was lower than that of the control group(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05). Conclusion For patients undergoing gynecological hysteroscopic surgery,the use of alfentanil combined with cyclopofol anesthesia can not only effectively improve the anesthetic effect,reduce the impact on their vital signs,but also promote their postoperative recovery,enhance their sedative and analgesic effects,promote the recovery of their cognitive function,and reduce the incidence of adverse reactions.

Key words： Hysteroscopic surgery Afentanil Cyclopofol Propofol Anesthetic effect

Received: 03 June 2025

PACS:

R614

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Liang Min
	Zhang Hongting
	Guo Yijie
	Li Yunfan

Cite this article:

Liang Min,Zhang Hongting,Guo Yijie, et al. The Anesthetic Effect of Alfentanil Combined with Cyclopofol in Gynecological Hysteroscopic Surgery and Its Influence on Postoperative Recovery[J]. journal1, 2025, 45(6): 33-35.

URL:

http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2025.06.009 OR http://www.hrbyybjb.org.cn/EN/Y2025/V45/I6/33

[1] 杨璐璐,王媛媛.阿芬太尼复合丙泊酚用于宫腔镜手术的麻醉效果分析[J].中国新药杂志,2022,31(16):1608-1612.
[2] 郝迎春,曹惠鹃,孙莹杰,等.环泊酚与丙泊酚用于宫腔镜手术的比较[J].临床麻醉学杂志,2023,39(1):106-108.
[3] 缪兰芬,顾玲玲.腹腔镜全子宫切除术单次注射右美托咪定麻醉对患者O AA/S评分及苏醒期躁动的影响[J].中国计划生育学杂志,2022,30(10):2233-2237.
[4] 石振宇,丁新红,陈岩.疼痛评估测量工具对门诊伤口换药患者的同时效度和偏好性[J].国际医药卫生导报,2019,25(23):3962-3964.
[5] 伍少玲,燕铁斌,黄利荣.简易智力测试量表的效度及信度研究[J].中华物理医学与康复杂志,2003,25(3):140-142.
[6] 王如,蔺祎,王益敏,等.环泊酚与丙泊酚用于日间宫腔镜手术的麻醉效果比较[J].广东医学,2023,44(2):188-193.
[7] 朱娟,马鹏,蒋鹏.环泊酚与瑞马唑仑复合阿芬太尼用于宫腔镜手术的麻醉效果[J].江苏医药,2024,50(1):67-70.
[8] 谭正玲,彭姝嫕,胡志强,等.环泊酚用于肥胖患者宫腔镜手术麻醉的安全性及有效性[J].广东医学,2023,44(4):462-466.
[9] 回宇峰,谭思琪,孙莹杰.环泊酚联合阿芬太尼用于支气管镜检查术患者的临床研究[J].中国临床药理学杂志,2024,40(19):2806-2810.
[10] 周广伟,张岚,宁庚,等.环泊酚复合阿芬太尼用于老年患者无痛膀胱镜检查的有效性和安全性[J].中国医院药学杂志,2024,44(13):1564-1568.
[11] 张永强,崔春雷,左明玉,等.环泊酚复合阿芬太尼抑制老年患者胃镜置入反应的90%有效量[J].中国内镜杂志,2024,30(6):67-73.
[12] 黄瑾,张珈硕,王晟昱,等.复合阿芬太尼时环泊酚用于不同BMI患者胃镜检查术麻醉效力的比较[J].中华麻醉学杂志,2024,44(12):1476-1479.
[13] 郝迎春,曹惠鹃,孙莹杰,等.环泊酚与丙泊酚用于宫腔镜手术的比较[J].临床麻醉学杂志,2023,39(1):106-108.