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瑞芬太尼用于无痛人流手术麻醉的临床效果观察

Clinical Observation of Remifentanil for Painless Abortion Anesthesia
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摘要 目的探讨无痛人流手术中采用瑞芬太尼进行麻醉的效果和安全性。方法选取本院2017年2月至2018年2月接收的84例无痛人流手术患者,随机分为观察组与对照组,每组42例。分别采用瑞芬太尼联合丙泊酚麻醉、仅丙泊酚麻醉。对比麻醉效果,并观察术后苏醒时间以及OAA/S评分。结果 (1)两组患者麻醉效果对比:观察组麻醉优良率97.62%较对照组83.33%来说更高,比较P<0.05,有统计学意义;(2)两组患者麻醉基本情况对比:观察组术后苏醒时间较对照组来说显著更低,且OAA/S评分较对照组更高,比较P<0.05。结论无痛人流手术麻醉时采用瑞芬太尼联合丙泊酚的镇痛作用良好,且安全性较高,促进了患者意识的恢复,临床实用价值显著。 Objective To investigate the efficacy and safety of remifentanil for anesthesia in painless abortion. Methods 84 patients with painless abortion received from February 2017 to February 2018 were randomly divided into observation group and control group, with 42 cases in each group. Remifentanil combined with propofol anesthesia and propofol anesthesia were used. The anesthesia effect was compared and the postoperative recovery time and OAA/S score were observed. Results(1) Comparison of anesthetic effect between the two groups: the excellent rate of anesthesia in the observation group was 97.62% higher than that in the control group(83.33%), compared with P〈0.05, which was statistically significant;(2) Comparison of the basic anesthesia between the two groups: The recovery time of the observation group was significantly lower than that of the control group, and the OAA/S score was higher than that of the control group, P〈0.05. Conclusion Analgesia with remifentanil combined with propofol during anesthesia of painless abortion good effect, and high safety, promote the recovery of patient consciousness, clinically significant value.
作者 赫凌峰 HE Ling-feng(Jilin Integrated Traditional Chinese and Western Medicine Hospital,Jinlin,Jinlin 132011)
出处 《智慧健康》 2018年第26期58-59,共2页 Smart Healthcare
关键词 无痛人流 瑞芬太尼 手术麻醉 Painless abortion Remifentanil Surgical anesthesia
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