摘要
目的探讨丙泊酚复合瑞芬太尼在无痛人工流产术中的麻醉效果。方法选取2017年3月—2018年1月在长宁县妇幼保健计划生育服务中心行无痛人工流产术患者84例,采用双盲法分为对照组和研究组,各42例。对照组患者采用丙泊酚复合芬太尼麻醉,研究组患者采用丙泊酚复合瑞芬太尼麻醉。比较两组患者血压(收缩压、舒张压)、心率、血氧饱和度、丙泊酚用量、清醒时间及术后腹痛程度。结果研究组患者收缩压、舒张压、心率低于对照组,血氧饱和度高于对照组,丙泊酚用量少于对照组,清醒时间短于对照组(P<0.05)。研究组患者术后腹痛程度轻于对照组(P<0.05)。结论丙泊酚复合瑞芬太尼在无痛人工流产术患者中的麻醉效果明显,其可保持患者生命指征稳定,减少丙泊酚用量,且可促进患者快速清醒,降低术后腹痛程度。
Objective To discuss the anaesthesia effect of propofol combined with remifentanil on painless induced abortion patients.Methods A total of 84 cases of patients underwent painless induced abortion were selected from March 2017 to January 2018 in Changning County Maternal and Child Health Planning Service Center,which were divided into control group and study group,42 cases in each group.The control group was given propofol combined with fentanyl anesthesia,and the study group was given propofol combined with remifentanil.The blood pressure(systolic blood pressure,diastolic blood pressure),heart rate,blood oxygen saturation,propofol dosages,wakefulness time and postoperative abdominal pain degree were compared between the two groups.Results The study group of systolic blood pressure,diastolic blood pressure and heart rate were lower than control group,propofol dosages was less than control group,wakefulness time was shorter than control group(P<0.05).The postoperative abdominal pain degree of study group was better than control group(P<0.05).ConclusionPropofol combined with remifentanil have a significant anaesthesia effect on painless induced abortion patients,which can keep patients’ vital signs stable,reduce propofol dosages,and promote patients waking up quickly,reduce postoperative abdominal pain.
作者
李健康
LI Jian-kang(Department of Anaesthesia,Changning County Maternal and Child Health Planning Service Center,Yibin 644300,China)
出处
《临床合理用药杂志》
2018年第36期19-20,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
流产
人工
丙泊酚
瑞芬太尼
麻醉效果
Abortion,induced
Propofol
Remifentanil
Anesthetic effect
