【摘要】 目的：探究瑞芬太尼复合丙泊酚靶控输注全凭静脉麻醉对子宫肌瘤患者术中血流动力学的影响。方法：选取笔者所在医院2018年7月-2019年7月收治的子宫肌瘤患者88例，按照随机数字表法将其分为观察组(n=44)与对照组(n=44)，均行手术切除治疗，对照组采取芬太尼复合丙泊酚靶控输注全凭静脉麻醉，观察组采取瑞芬太尼复合丙泊酚靶控输注全凭静脉麻醉。比较两组麻醉效果(麻醉起效、自主呼吸恢复、术后拔管时间)、术中血流动力学(收缩压、舒张压、心率)变化。结果：观察组麻醉起效、自主呼吸恢复、术后拔管时间均短于对照组(P<0.05)。观察组T1时收缩压、舒张压、心率均低于对照组(P<0.05)。结论：瑞芬太尼复合丙泊酚靶控输注全凭静脉麻醉在子宫肌瘤术中麻醉效果好，清醒时间短，术中血流动力学稳定，值得临床推广应用。

    【关键词】 子宫肌瘤 瑞芬太尼 丙泊酚 静脉麻醉 血流动力学

    [Abstract] Objective： To explore the effect of Remifentanil combined with Propofol target controlled infusion by intravenous anesthesiaon intraoperative hemodynamics in patients with uterine fibroids. Method： A total of 88 patients with uterine fibroids admitted in our hospital from July 2018 to July 2019 were selected and divided into the observation group (n=44) and the control group (n=44) according to the random number table method. All patients underwent surgical resection. The control group received Fentanyl combined with Propofol target controlled infusion by intravenous anesthesia ......