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《Jilin Medical Journal》 2014-29
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Clinical observation of remifentanil combined with propofol anesthesia during hysteroscope operation

ZHANG Zhi-yong;BAO Yi-yong;DING Mei-ping;Department of Anesthesiology Xuancheng Central Hospital of Anhui Province;  
Objective To observe the effects of remifentanil combined with propofol for anesthesia in hysteroscope operation.Methods 50 patients were randomly divided into hysteroscopic operation,remifentanil combined with propofol group(group R) and fentanyl and propofol group(F group).Group R with remifentanil 0.1 μ g/kg ? min infusion of 5 min,group F intravenous injection of fentanyl 1 μ g/kg two group were followed by intravenous injection of propofol in 1.5~2 mg/kg to patients lost consciousness,intraoperative infusion of propofol 4~5 mg/kg ? h to maintain anesthesia.Record two groups of patients with basal values were(T0),after induction of anesthesia(T1),during cervical dilation(T2),postoperative(T3) at the MAP,HR,SpO2 and recovery time,total dosage of propofol,nausea,vomiting reaction condition of patients and the rate of intraoperative body movement.Results Compared with T0 group,R T1, F T1, T2 MAP decreased significantly,HR significantly decreased(P0.01);compared with R group,T2 F group had significantly lower MAP,HR decreased significantly(P0.01).The total amount of propofol R group was obviously less than group F(P0.01);the recovery time was significantly shorter in the F group(P0.01);the body was significantly less than the F group(P0.01).Conclusion Remifentanil Combined with propofol hysteroscopy good and safe and feasibl.
【CateGory Index】: R614
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