Research on combined intravenous-inhalation anesthesia and intravenous anesthesia in gynecological laparoscopic surgery anesthesia
静吸复合麻醉与静脉麻醉在妇科腹腔镜手术麻醉中的研究

摘要

目的 将静息复合麻醉（CIVIA）与静脉麻醉（TIVA）用于妇科腹腔镜手术中，对其麻醉效果进行比较。方法 选取2023.12~2024.12妇科收治的80例腹腔镜手术患者，根据不同麻醉方案分组，对照组40例行TIVA，观察组40例行CIVIA，比较两组麻醉效果。结果 T0时，两组MAP、HR水平无显著差异（P>0.05），T1~T3时，观察组各指标更高（P<0.05）；两组各苏醒指标相比，观察组恢复时间更短（P<0.05）；两组肛门排气、排便时间相比，观察组更短（P<0.05）；观察组不良反应率为7.50%，与对照组5.00%无显著差异（P>0.05）。结论 与TIVA相比，CIVIA用于妇科腹腔镜手术中对患者血流动力学影响更小，更能缩短术后苏醒时间，促进胃肠功能快速恢复，且不会增加不良反应，值得应用。

Abstract

Objective To compare the anesthetic effects of combined resting anesthesia (CIVIA) and intravenous anesthesia (TIVA) in gynecological laparoscopic surgeries.
Methods Eighty patients who underwent laparoscopic surgery and were admitted to the gynecology department from December 2023 to December 2024 were selected and grouped according to different anesthesia regimens. Forty patients in the control group underwent TIVA, and forty patients in the observation group underwent CIVIA. The anesthesia effects of the two groups were compared.
Results At T0, there was no significant difference in the levels of MAP and HR between the two groups (P>0.05). From T1 to T3, each index in the observation group was higher (P<0.05). Compared with each recovery index of the two groups, the recovery time of the observation group was shorter (P<0.05). Compared with the time of anal exhaust and defecation in the two groups, the observation group was shorter (P<0.05). The adverse reaction rate in the observation group was 7.50%, which was not significantly different from 5.00% in the control group (P>0.05).
Conclusion   Compared with TIVA, CIVIA has less impact on the hemodynamics of patients in gynecological laparoscopic surgery, can shorten the postoperative recovery time, promote the rapid recovery of gastrointestinal function, and does not increase adverse reactions. It is worthy of application.