地佐辛复合丙泊酚静脉麻醉应用于无痛人流麻醉的临床观察
发布时间:2018-01-17 01:08
本文关键词:地佐辛复合丙泊酚静脉麻醉应用于无痛人流麻醉的临床观察 出处:《临床合理用药杂志》2016年29期 论文类型:期刊论文
【摘要】:目的观察地佐辛复合丙泊酚静脉麻醉应用于无痛人流麻醉的效果,为临床应用提供依据。方法选取医院收治的早孕妇女64例,均自愿接受无痛人流手术,按入院先后顺序分为观察组和对照组,每组32例。观察组给予地佐辛复合丙泊酚静脉麻醉,对照组给予芬太尼复合丙泊酚静脉麻醉,比较2组患者围术期生命体征变化、术中麻醉效果、不良反应及术后宫缩痛发生情况。结果 2组术前平均动脉压(MAP)、心率(HR)与术中、术后比较差异均有统计学意义(P0.05);2组围术期各血流动力学指标及术中麻醉效果组间比较差异无统计学意义(P0.05);观察组术中呼吸抑制发生率明显低于对照组(P0.01);观察组术后子宫收缩痛发生率低于对照组(P0.05)。结论地佐辛复合丙泊酚静脉麻醉应用于无痛人流麻醉镇痛效果好,并发症少,是一种较理想的无痛人流麻醉方法,具有推广应用价值。
[Abstract]:Objective to observe the effect of intravenous dizosin combined with propofol on painless artificial abortion. Methods Sixty-four women with early pregnancy admitted in our hospital received painless abortion surgery voluntarily. According to the order of admission, the observation group and the control group were divided into observation group and control group with 32 cases in each group. The observation group was given dizosin combined with propofol intravenous anesthesia, the control group was given fentanyl combined with propofol intravenous anesthesia. The changes of perioperative vital signs, anesthetic effect, adverse reactions and postoperative uterine contractions were compared between the two groups. Results the mean arterial pressure (map) and heart rate (HRR) were compared between the two groups. Postoperative differences were statistically significant (P 0.05). There was no significant difference in hemodynamic indexes and anesthetic effect between the two groups during perioperative period (P 0.05). The incidence of respiratory depression in the observation group was significantly lower than that in the control group (P 0.01). The incidence of uterine contraction pain in the observation group was lower than that in the control group (P 0.05). Conclusion Dizoxin combined with propofol intravenous anesthesia has good analgesic effect and fewer complications. It is an ideal painless artificial flow anesthesia method and has the value of popularization and application.
【作者单位】: 福建省宁德市中医院麻醉科;
【分类号】:R169.42
【正文快照】: 人工流产术是一种因意外妊娠、疾病或优生等原因在妊娠10周内终止妊娠的手术方法,传统人流术不仅给受术者带来极大痛苦,还会出现较多并发症,影响身心健康[1]。芬太尼复合丙泊酚已广泛应用于无痛人流手术的麻醉,但有可能引起呼吸抑制、术后头晕、恶心呕吐等不良反应。地佐辛是
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