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目的:探讨右美托咪定替代丙泊酚对妇科腹腔镜手术全身麻醉维持和术后恢复的影响.方法:选择我院于20]7年收治的99例进行妇科腹腔镜手术的患者,随机分成三组记为1、2、3组,每组33例.对比Ramsay镇静评分、Riker躁动评分、术后一天质量评分.结果:第1组患者的Ramsay镇静评分低于2、3组,Riker躁动评分高于2、3组,术后恢复质量评分第3组高于1、2组.结论:使用右美托咪定替代丙泊酚可以提高对妇科腹腔镜手术全身麻醉维持.有利于患者术后恢复.“,”Objective: To investigate the effect of dexmedetomidine instead of propofol on general anesthesia maintenance and postoperative recovery in gynecologic laparoscopic surgery. METHODS: A total of 99 patients who underwent gynecologic laparoscopic surgery in our hospital in 2017 were randomly divided into three groups of 1, 2. and 3 groups, with 33 cases in each group. Ramsay sedation score, Riker agitation score, postoperative one-day quality score. Results: The Ramsay sedation score of group 1 patients was lower than that of group 2, 3, and Rikers restlessness score was higher than that of group 2, 3, and postoperative recovery quality score of group 3 was higher than that of group 1 and 2. Conclusion: The use of dexmedetomidine instead of propofol can improve the maintenance of general anesthesia for gynecologic laparoscopic surgery, which is benefic al for postoperative recovery.