丙泊酚加瑞芬太尼用于无痛人工流产术麻醉效果的临床观察

发布时间：2018-10-25 06:50

【摘要】：目的:分析丙泊酚联合瑞芬太尼在无痛人工流产术中的麻醉效果。方法:选取72名择期行无痛人工流产术患者,随机分为研究组和对照组。研究组以丙泊酚联合瑞芬太尼麻醉,对照组以芬太尼代替瑞芬太尼,其他同研究组。于麻醉前5min(T1)、麻醉后2min(T2)、扩宫时(T3)、手术完成后1min(T4)四个时间点检测记录患者平均动脉压(MAP)、血氧饱和度(SpO2)、心率(HR)。此外,比较患者苏醒时间、VAS评分、体动情况及丙泊酚用量。结果:所有患者术中各指标均先降低后升高,P0.05,差异具有统计学意义。T2时,两组患者指标较其他时间点均有显著差异,研究组SpO2、HR明显高于对照组,P0.05。研究组苏醒时间明显短于对照组,VAS评分显著短低于对照组,体动者比例低于对照组,P0.05;丙泊酚用量组间比较无显著差异。结论采用瑞芬太尼联合丙泊酚用于无痛人工流产术的麻醉和镇痛疗效确切,安全可靠,值得在临床上推广应用。
[Abstract]:Objective: to analyze the anesthetic effect of propofol combined with remifentanil in painless induced abortion. Methods: 72 patients undergoing painless induced abortion were randomly divided into study group and control group. The study group was anesthetized with propofol and remifentanil, while the control group was treated with fentanyl instead of remifentanil. 5min (T1), 2min (T2), dilatation (T3) before anesthesia and 1min (T4) after operation were used to measure the mean arterial pressure (SpO2) and heart rate (HR). In addition, the recovery time, VAS score, body movement and propofol dosage were compared. Results: the indexes of all patients were decreased first and then increased (P 0.05). At T2, there was significant difference between the two groups. The SpO2,HR in the study group was significantly higher than that in the control group (P 0.05). The recovery time of the study group was significantly shorter than that of the control group, the VAS score was significantly shorter than that of the control group, and the proportion of body movement was lower than that of the control group (P0.05.There was no significant difference in the dosage of propofol between the groups. Conclusion remifentanil combined with propofol for anaesthesia and analgesia in painless induced abortion is effective, safe and reliable. It is worth popularizing in clinic.
【作者单位】：河南省中医学院二附院·河南省中医院;
【分类号】：R169.42

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