摘要
目的:探讨地佐辛预先给药对丙泊酚无痛人流麻醉效果的影响。方法:收集200例拟行人工流产患者入组,按入组编号随机分为观察组与对照组,每组100例,观察组患者采用丙泊酚联合地佐辛预先给药麻醉,而对照组采用丙泊酚联合芬太尼预先给药麻醉,观察比较两组患者麻醉起效时间、术后苏醒时间,镇痛效果,术中、术后不良反应。结果:两组患者麻醉起效时间比较差异无统计学意义(P>0.05);术后苏醒时间观察组短于对照组,差异有统计学意义(P<0.05);观察组镇痛效果优于对照组,30min时相比差异有统计学意义(P<0.05);而观察组丙泊酚用量虽低于对照组,两组相比差异无统计学意义(P>0.05);观察组术中术后不良反应情况少于对照组,两组相比差异有统计学意义(P<0.05)。结论:地佐辛预先给药虽对丙泊酚无痛人流麻醉起效时间无明显影响,但可缩短术后苏醒时间,提高镇痛效果,减轻不良反应,临床值得推广应用。
Objective： To investigate the anesthesia effect of dezocine pretreatment on painless abortion.Methods：A total of 200 cases scheduled for abortion were randomly divided into control group and observation group with 100 cases in each group.The observation group was given pretreatment of propofol combining with dezocine,while the control group was given pretreatment of propofol combining with fentanyl.Onset time of anesthesia,waking time after surgery,analgesic effect and iside effect during and after surgery were observed and compared.Results：There was no statistical significant difference in the onset time of anesthesia between the two groups（P0.05）.The wake time of patients in the observation group was significant longer than that of the control group（P0.05）.The analgesic effect of observation group was significant better than that of the control group 30 min after injection（P0.05）;Dosage of propofol in the observation group was smaller but there was no significant difference（P0.05）.The incidence of adverse effect was significant lower in observation group than that of the control group（P0.05）.Conclusions： Although dezocine pretreatment shows no advantage in the onset time of anesthesia effects,it can shorten postoperative recovery time,improve analgesia effects,and reduce adverse reactions.It is worthy of clinical application.
出处
《海南医学院学报》
CAS
2012年第1期108-110,共3页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020120031)~~
关键词
地佐辛
丙泊酚
无痛人流
Dezocine
Propofol
Painless abortion
作者简介
[作者简介]唐树华（1977-），男，重庆人，主治医师，学士，电话：023—42830652，电子信箱：tsh2001@yeah．net。
