瑞芬太尼、芬太尼与丙泊酚复合应用于人工流产中的效果观察与护理

发布时间：2018-07-27 10:21

【摘要】：目的探讨瑞芬太尼、芬太尼与丙泊酚复合应用于人工流产中的效果与护理方法。方法 120例行人工流产术患者,根据随机数字表法将其分为研究组与对照组,各60例。研究组患者应用瑞芬太尼与丙泊酚复合麻醉,对照组患者应用芬太尼与丙泊酚复合麻醉。在此基础上,两组均辅以针对性护理干预。比较两组患者意识消失时间、丙泊酚用量、苏醒时间以及术后下腹疼痛发生率。结果研究组意识消失时间、丙泊酚用量少于对照组,差异具有统计学意义(P0.05);两组苏醒时间比较差异无统计学意义(P0.05)。研究组术后下腹疼痛1例,发生率为1.67%;对照组术后下腹疼痛8例,发生率为13.33%,研究组术后下腹疼痛发生率低于对照组,差异具有统计学意义(χ~2=5.886,P0.05)。结论与芬太尼复合丙泊酚相比,瑞芬太尼复合丙泊酚可以有效强化人工流产患者的镇痛效果,且联合针对性护理进一步保证了麻醉质量。
[Abstract]:Objective to explore the effect and nursing method of remifentanil, fentanyl and propofol combined with propofol in induced abortion. Methods 120 patients with induced abortion were divided into study group and control group. Patients in study group were anesthetized with remifentanil and propofol, while patients in control group were anesthetized with fentanyl and propofol. On this basis, both groups were supplemented with targeted nursing intervention. The time of consciousness loss, dosage of propofol, recovery time and incidence of postoperative lower abdominal pain were compared between the two groups. Results the time of consciousness disappearance in the study group was less than that in the control group (P0.05), but there was no significant difference in the recovery time between the two groups (P0.05). The incidence of lower abdominal pain was 1.67 in the study group and 13.33 in the control group. The incidence of lower abdominal pain in the study group was lower than that in the control group (蠂 ~ 2 = 5.886 P 0.05). Conclusion compared with fentanyl and propofol, remifentanil combined with propofol can effectively enhance the analgesic effect of induced abortion patients, and combined with targeted nursing can further ensure the quality of anesthesia.
【作者单位】：安顺市普定县人民医院;
【分类号】：R473.71

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