Safety and efficacy of cypofol for hysteroscopic anesthesia in obese patients
环泊酚用于肥胖患者宫腔镜手术麻醉的安全性及有效性

摘要

目的 观察在肥胖患者宫腔镜手术麻醉中应用环泊酚麻醉的安全性及有效性。方法 随机选取2023年3月至2024年3月期间在我院接受宫腔镜手术麻醉的肥胖患者60例，将所有患者以随机数字表法分成观察组和对照组，每组各有患者30例，对照组手术麻醉采用丙泊酚复合地佐辛，观察组则采取环泊酚复合地佐辛，将两种麻醉方案取得的效果进行详细对比分析。结果 两组最终麻醉结果对比显示，观察组患者麻醉后呼吸频率、平均动脉压以及心率保持效果均优于对照组，术中应激反应发生率以及术后麻醉药物不良反应发生率均低于对照组，术后苏醒以及定向力恢复所用时间均短于对照组（P＜0.05）。结论 对肥胖患者宫腔镜手术麻醉中采用环泊酚，可进一步提高手术麻醉效果，且用药安全性也较高，能够提高手术效率及安全性。

Abstract

Objective To observe the safety and effectiveness of cypofol anesthesia in obese patients undergoing hysteroscopic surgery.
Methods A total of 60 obese patients who received hysteroscopic surgical anesthesia in our hospital from March 2023 to March 2024 were randomly selected, and all patients were divided into observation group and control group by random number table method, with 30 patients in each group. The control group received surgical anesthesia with propofol combined with desocine, while the observation group received cypofol combined with desocine. The results of the two anesthesia schemes were compared and analyzed in detail.
Results The comparison of the final anesthesia results between the two groups showed that the respiratory rate, mean arterial pressure and heart rate of patients in the observation group after anesthesia were better than those in the control group, the incidence of intraoperative stress reaction and postoperative adverse drug reactions were lower than those in the control group, and the postoperative recovery time and orientation were shorter than those in the control group (P < 0.05).
Conclusion   The use of cypofol in hysteroscopic anesthesia for obese patients can further improve the anesthetic effect, and the drug safety is also high, which can improve the efficiency and safety of surgery.