腹腔鏡手術後の胃腸機能回復に対する静脈内麻酔と吸入麻酔の効果: ランダム化比較試験
Huimin Hu1, Zheng Niu2, Jie Song1
1Jiangsu Province Key Laboratory of Anesthesiology, Xuzhou Medical University, China.
Indian journal of anaesthesia
|August 29, 2025
まとめ
整体静脈麻酔 (TIVA) は,吸入麻酔と比較して,腹腔鏡手術後の胃腸機能の回復を加速します. TIVAを投与された患者は最初の排便が速く,固体食品に耐性があり,手術の結果が改善されました.
科学分野:
- 麻酔科
- 胃腸内科
- 手術による回復
背景:
- laparoscopic 婦人科手術は進歩している.
- 手術後の胃腸機能に対する 麻酔の影響を理解することが重要です
研究 の 目的:
- 静脈内麻酔 (TIVA) と吸入麻酔を比較する.
- 腹腔鏡による子宮切除術後の胃腸の回復への影響を評価する.
主な方法:
- 134人の女性患者 (ASA I- II) は,TIVA (グループP) または吸入麻酔 (グループS) にランダムに分けられました.
- 最初の排便までの時間と固体食品への耐性
- 二次的アウトカム:I-FEEDスコア,痛み,吐き気/嘔吐,浮気,胃/腸の運動
主要な成果:
- 最初の排便までの平均時間 + 固体食品の耐性は,TIVAグループでは (51時間) と比較して (47時間) 大幅に短かった (P=0. 02).
- グループ間のI-FEEDスコアの有意な差はない (P=0.074).
- TIVAグループは優れた鎮痛作用と血液動力学的安定性を示した.
結論:
- 静脈内麻酔は手術後の胃腸機能の回復を促進する.
- TIVAは,腹腔鏡による子宮切除術後の回復を改善するための好ましい麻酔剤です.
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