Tablov V, Tsafarov M, Tablov B, Popov I, Partenov P
Akush Ginekol (Sofiia). 2007;46(3):41-3.
We tested the hypothesis that diprivan/ketamine (D/K) anesthesia would offer advantages compared to midazolam/ketamine (M/K) in patients undergoing minor gynecological surgery. After patient written consent, 60 healthy women, which were scheduled for elective termination of pregnancy were randomly allocated into two groups. Operating conditions, recovery, pain, postoperative nausea and vomiting (PONV) and patient's satisfaction to anesthesia were assessed. Demographic and surgical data were identical in the groups. Immediate recovery was faster with patients given diprivan than midazolam. Patients receiving M/K experienced more PONV in recovery room. D/K is preferable method of anesthesia for ultra-short gynecological procedure compared to M/K because of faster recovery and decreased incidence of PONV.
在接受小型妇科手术的患者中,与咪达唑仑/氯胺酮(M/K)相比,丙泊酚/氯胺酮(D/K)麻醉具有优势。在患者书面同意后,将60名计划进行选择性终止妊娠的健康女性随机分为两组。评估了手术条件、恢复情况、疼痛、术后恶心和呕吐(PONV)以及患者对麻醉的满意度。两组的人口统计学和手术数据相同。使用丙泊酚的患者比使用咪达唑仑的患者恢复更快。接受M/K的患者在恢复室经历了更多的PONV。与M/K相比,D/K是超短妇科手术更可取的麻醉方法,因为恢复更快且PONV发生率降低。