Comparison of the effect of propofol,fentanyl and midazolam dose intravenous anesthesia in obstetrics and gynecology / 中国基层医药

ABSTRACT

Objective To analyze the anesthetic effects of propofol ,fentanyl and midazolam dose clinical ap-plications in obstetrics and gynecology .Methods 120 cases were treated in our hospital obstetrics and gynecology outpatient surgery in accordance with the order of treatment ,who were randomly divided into control group and obser-vation group,control group were treated with propofol and fentanyl anesthesia ,observe group were treated with propo-fol,fentanyl and midazolam anesthesia small doses .During surgery,contrast-detected the patient′s respiratory groups (RR),heart rate(HR),pulse oxygen saturation(SaO2) and mean arterial pressure(MAR),recorded the onset time of anesthesia,recovery time,propofol and adverse reactions and so on .Results In the control group of patients after an-esthesia RR,HR,SaO2 ,MAR before anesthesia compared with the lowest value ,and the difference were statistically significant(t=6.328,P<0.01;t=9.917,P<0.01;t=9.476,P<0.01;t=4.458,P<0.01);observation group were anesthetized RR,HR,SaO2,MAR lowest values before anesthesia,the differences were statistically significant (t=4.467,P<0.01;t=9.351,P<0.01;t=2.999,P<0.01;t=3.979,P<0.01);observation group were drug onset time with propofol were significantly lower than the control group (t=4.435,P<0.01;t=6.017,P<0.01), there were statistically significant difference;groups incidence of adverse reactions after surgery was not significantly different.Conclusion In obstetrics and gynecology outpatient surgery anesthesia ,propofol,fentanyl and midazolam with a small dose of anesthetic is better ,analgesic sedative effect is significant ,fewer adverse reactions occurs .