氧化亚氮与丙泊酚在无痛人工流产术中应用效果比较

发布时间：2018-02-28 11:36

本文关键词： 氧化亚氮丙泊酚无痛人流术后恶心呕吐　出处：《重庆医学》2017年30期 　论文类型：期刊论文

【摘要】：目的对比观察氧化亚氮(N_2O)与丙泊酚在无痛人工流产术中的应用效果。方法该院2016年1-12月600例无痛人工流产手术患者的麻醉方式分成N_2O组(N组)和丙泊酚组(B组)(n=300),总结诱导时间、苏醒时间,术中体动、苏醒期躁动,术后恶心呕吐发生率以及给药前、给药后1、2、5、10 min的平均动脉压(MBP)、心率(HR)、呼吸频率(RR)、血氧饱和度(SpO_2)。结果两组麻醉效果均满意。诱导时间N组长于B组,苏醒时间N组短于B组,给药1 min时N组RR高于B组,2min时N组MAP高于B组,术后恶心呕吐发生率N组高于B组(P0.05);HR、SpO_2在各时间点差异无统计学意义(P0.05)。在年龄、孕周、胎次、术中体动、苏醒期躁动两组差异无统计学意义(P0.05)。结论 N_2O苏醒更快,有良好镇痛作用,对生理扰乱更小,更适合门诊无痛人工流产等小型手术麻醉。
[Abstract]:Objective to compare the effect of NSCO and propofol in painless induced abortion. Methods from 2016 to December, 2001, 600 patients with painless induced abortion were divided into two groups: n group (n = 6) and group B (n = 300), and the induction time was summarized. Recovery time, body movement during operation, restlessness during recovery, incidence of nausea and vomiting after operation and before administration, The mean arterial pressure (MBP), heart rate (HR), respiratory frequency (RN), oxygen saturation (SPO _ 2) in the two groups were all satisfactory, the induction time was longer than that in group B, and the recovery time in group N was shorter than that in group B. At 1 min, the RR of group N was higher than that of group B at 2 minutes, and the incidence of postoperative nausea and vomiting in group N was higher than that in group B (P 0.05). There was no significant difference between group N and group B at different time points (P 0.05). There was no significant difference in restlessness between the two groups in the recovery period (P 0.05). Conclusion N2O can wake up more quickly, have good analgesic effect, have less physiological disturbance, and be more suitable for small operation anesthesia such as painless artificial abortion in outpatient clinic.
【作者单位】：重庆市两江新区第一人民医院麻醉科;
【分类号】：R169.42

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