不同镇痛药物用于无痛取卵的临床效果观察

发布时间：2018-04-05 10:07

本文选题：无痛　切入点：取卵　出处：《中国妇产科临床杂志》2017年02期

【摘要】：目的探讨不同镇痛药物用于无痛取卵的临床效果。方法选取无痛取卵患者129例,采用随机数字表法平均分为A、B、C组,每组43例。A组给予地佐辛0.1 mg/kg+丙泊酚,B组给予戊乙奎醚0.5 mg+地佐辛0.1 mg/kg+丙泊酚,C组给予盐酸羟考酮0.1 mg/kg+丙泊酚,分析3组患者麻醉起效时间、麻醉效果和术后不良反应情况等。结果 3组患者麻醉前、睫毛反射消失、手术开始、手术结束时的血压、心率、血氧饱和度、麻醉起效时间、意识恢复时间、VAS评分,患者满意度比较,差异均无统计学意义(P0.05)。A组恶心呕吐等不良反应发生率为25.58%,显著高于B组的4.65%和C组的2.32%(P0.05)。结论地佐辛复合戊乙奎醚、盐酸羟考酮用于无痛取卵安全有效。地佐辛复合戊乙奎醚、盐酸羟考酮不良反应低,患者舒适度高。
[Abstract]:Objective to investigate the clinical effect of different analgesic drugs for painless ova. Methods 129 patients with painless ova, were randomly divided into A, B, C group, 43 cases in each group were given.A dezocine 0.1 mg/kg+ propofol, group B were given penehyclidine 0.5 mg+ dezocine 0.1 mg/kg+ propofol. C group was treated with oxycodone hydrochloride 0.1 mg/kg+ propofol, analysis of 3 groups of patients with anesthesia onset time, anesthesia effect and postoperative adverse reactions. Results 3 groups of patients before anesthesia, the eyelash reflex, operation began at the end of the operation, the blood pressure, heart rate, oxygen saturation, the onset time of anesthesia, consciousness recovery time, VAS score of patients. Comparison of satisfaction, there were no significant differences (P0.05) adverse reactions such as nausea and vomiting in group.A, the incidence rate was 25.58%, significantly higher than 4.65% in group B and group C 2.32% (P0.05). Conclusion: dezocine combined penehyclidine hydrochloride oxycodone for painless. The oocyte is safe and effective. Dezocine combined penehyclidine, oxycodone hydrochloride in patients with low adverse reaction, high degree of comfort.

【作者单位】：郑州大学第三附属医院麻醉科;
【分类号】：R614

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