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目的：探讨在实施宫腔镜通液术治疗过程中,选择芬太尼或者舒芬太尼复合丙泊酚实施全身麻醉后获得的临床效果。方法96例宫腔镜通液术患者,依据全身麻醉方式的不同分为观察组(给予舒芬太尼复合丙泊酚实施全身麻醉)和对照组(给予芬太尼复合丙泊酚实施全身麻醉),各48例。对比两组丙泊酚用量、患者清醒时间以及简易精神状态检查表(MMSE)评分。结果对照组患者的丙泊酚用量为(140.49±24.01)mg,患者的清醒时间为(3.99±1.06)min,术后5 min MMSE评分为(14.69±12.61)分,术后15 min MMSE评分为(25.05±4.46)分；观察组患者的丙泊酚用量为(121.26±22.43)mg,患者的清醒时间为(2.76±0.93)min,术后5 min MMSE评分为(23.41±9.39)分,术后15 min MMSE评分为(27.43±2.31)分；观察组患者的丙泊酚用量少于对照组,清醒时间短于对照组,术后5、15 min MMSE评分高于对照组,差异均具有统计学意义(P<0.05)。结论对于宫腔镜通液术患者,麻醉方法选择舒芬太尼复合丙泊酚,同芬太尼复合丙泊酚药物进行比较,可以将丙泊酚应用剂量显著减少,并且手术后患者可以做到快速清醒,有效避免手术后患者表现出严重认知功能下降的情况,值得临床推广。“,”ObjectiveTo investigate clinical effects by fentanyl or sufentanil combined with propofol for general anesthesia in hysteroscopic tubal canalization.MethodsA total of 96 patients in hysteroscopic tubal canalization were divided by different general anesthesia measures into observation group (received sufentanil combined with propofol for general anesthesia) and control group (received fentanyl combined with propofol for general anesthesia), with 48 cases in each group. Comparison was made on propofol dosage, revival time, and mini mental status examination (MMSE) between the two groups.ResultsThe control group had propofol dosage as (140.49±24.01) mg, revival time as (3.99±1.06) min, MMSE score in postoperative 5 min as (14.69± 12.61) points and (25.05±4.46) points in postoperative 15 min. The observation group had propofol dosage as (121.26±22.43) mg, revival time as (2.76±0.93) min, MMSE score in postoperative 5 min as (23.41± 9.39) points and (27.43±2.31) points in postoperative 15 min. The observation group had less propofol dosage, shorter revival time, higher MMSE scores in postoperative 5 and 15 min than the control group, and their differences all had statistical significance (P<0.05).ConclusionCombination of sufentanil and propofol for general anesthesia in hysteroscopic tubal canalization patients can remarkably reduce propofol dosage, comparing with combination of fentanyl and propofol. This method can also quicken revival time after operation, and it can effectively avoid severe declined cognitive function in patients after operation. It is worth clinical promotion.