|
|
|
| Anesthesia Effect and Resuscitation Quality of Remimazolam Combined with Sufentanil on Patients Undergoing Hysteroscopy |
| Li Xuelun, Li Wenxing, Huang Jiangbing, Feng Chaoqun |
| Department of Anesthesiology,Junan Hospital Affiliated Shunde Hospital of Guangzhou University of Chinese Medicine,Foshan,Guangdong,528329 |
|
|
|
|
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.
|
|
Received: 21 July 2022
|
|
|
|
|
|
[1] 田浩,张艺,熊永红,等.依托咪酯和丙泊酚用于无痛结肠镜时麻醉效果的Meta分析[J].临床麻醉学杂志,2021,37(11):1182-1189.
[2] 钱夏丽,夏凡,沈晓凤,等.艾司氯胺酮复合丙泊酚在宫腔镜检查术中的应用[J].临床麻醉学杂志,2021,37(07):706-708.
[3] 史媛,蒋毅,董贝贝,等.瑞马唑仑和咪达唑仑对健康老龄大鼠认知功能影响的比较[J].中华麻醉学杂志,2020,40(9):1089-1092.
[4] 黄杨,杨昌明,李涛,等.依托咪酯复合丙泊酚在腹腔镜胆囊切除术中的应用[J].临床麻醉学杂志,2017,33(11):1078-1081.
[5] 毕小宝,王琼,张高龙,等.纳布啡与舒芬太尼用于宫腔镜手术的麻醉效果比较[J].实用医学杂志,2018,34(18):3085-3088.
[6] 陈瑜. 不同剂量瑞马唑仑全麻诱导对老年患者镇静深度及血流动力学的影响[D].苏州大学,2019.
[7] 杨婉,孔令锁,陈兰仁.甲苯磺酸瑞马唑仑在老年患者无痛胃肠镜检查的应用[J].实用医学杂志,2021,37(20):2665-2669. |
| [1] |
. [J]. journal1, 2023, 43(4): 113-114. |
| [2] |
Yang Yanping, WU Xianping, Feng Chaoqun, LI Xuelun, Chen Shihong. Effects of Remazolam on Serum IL-6,CRP and Postoperative Cognitive Function in Elderly Patients with Painless Gastroenteroscopy[J]. journal1, 2023, 43(3): 15-17. |
| [3] |
. [J]. journal1, 2023, 43(2): 58-59. |
| [4] |
. [J]. journal1, 2022, 42(5): 66-67. |
| [5] |
Fang Rui. Effect of Low Dose Sufentanil Combined With Ropivacaine on Hemodynamics and Analgesic Effect of Lower Extremity Fracture Surgery[J]. journal1, 2022, 42(4): 37-38. |
| [6] |
. [J]. journal1, 2022, 42(4): 86-87. |
|
|
|
|
2023, Vol. 43 
