吸氧预处理对无痛人工流产术后疼痛的影响  

Oxygen inhalation pretreatment relieves postoperative pain in artificial abortion

作　　者：夏明[1] 周志强[1] 陈艳[2] 王欢欢[2] 徐静芳[2] 陈声容[2] 李伟彦[1] 

机构地区：[1]南京军区南京总医院麻醉科,南京医学硕士210002 [2]南京军区南京总医院妇产科,南京210002

出　　处：《医学研究生学报》2011年第10期39-41,共3页Journal of Medical Postgraduates

基　　金：国家自然科学基金(30872424)

摘　　要：目的随着无痛人工流产术的普及,其麻醉的镇痛效果也越来越为大家所重视。文中旨在评价吸氧预处理联合二异丙酚减轻人工流产术后疼痛的效果。方法美国麻醉学家学会(American Society of Anesthesiologists,ASA)标准Ⅰ-Ⅱ级人工流产术患者100例,随机分为预处理组(n=50)和对照组(n=50)。预处理组于普通供氧面罩麻醉前2min预给氧,给氧后静脉注射二异丙酚2.5 mg/kg;对照组单独静脉注射二异丙酚2.5 mg/kg。2组患者二异丙酚静脉注射速率均为5mg/s。结果预处理组患者苏醒即刻、苏醒后15 min和30 min,宫缩痛的视觉模拟评分(visual analogue scale,VAS)分别为(3.47±0.12)、(2.23±0.10)和(1.01±0.09)分,明显低于对照组的(5.10±0.10)、(3.51±0.13)及(2.10±0.11)分(P<0.05)。结论吸氧预处理联合二异丙酚镇痛,能减轻人工流产术后患者的疼痛。Objective With the wide application of painless artificial abortion,more and more attention has been drawn to the effectiveness of anesthesia.This study aimed to evaluate the effect of oxygen inhalation pretreatment on the postoperative pain in painless artificial abortion.Methods One hundred ASA Ⅰ-Ⅱ patients undergoing artificial abortion were equally and randomly assigned to receive oxygen inhalation through the mask 2 min before intravenous injection of propofol at 2.5 mg/kg(pretreatment group) or the same dose of propofol alone(control group).The speed of propofol injection was 5 mg/s in both of the groups.Results The VAS scores immediately,15 min and 30 min after revival from anesthesia were 3.47±0.12,2.23±0.10 and 1.01±0.09,respectively,in the pretreatment group,significantly shorter than 5.10±0.10,3.51±0.13 and 2.10±0.11 in the control group(P<0.05).Conclusion Oxygen inhalation pretreatment combined with propofol anesthesia can effectively relieve the postoperative pain of artificial abortion.

关 键 词：吸氧 预处理 二异丙酚 人工流产术 

分 类 号：R61[医药卫生—外科学]