丙泊酚加曲马多麻醉行无痛人工流产术的观察与护理  

Propofol Plus Tramadol for Analgesic Induced Abortion

作　　者：陈雪青[1] 

机构地区：[1]珠海市妇幼保健院护理部,广东珠海519000

出　　处：《解放军护理杂志》2004年第7期9-10,共2页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的　探讨两种不同静脉麻醉用药对无痛人工流产术的效果。方法　将 12 0例 4 5～ 6 0d的孕妇随机分为两组各 6 0例 ,麻醉方式 :观察组曲马多 2mg/kg静注 ,10min后静注丙泊酚 1.5mg/kg ;对照组单纯用丙泊酚 2 .5mg/kg静注 ,比较两组镇痛效果、宫颈松弛度、出血量、人流综合征发生、患者自动离院时间。结果　观察组的镇痛效果及术后自动离院时间与对照组有显著差异 (P <0 .0 1) ;但两组的宫颈松弛度、并发症和出血量无显著差异 (P >0 0 5 )。结论　丙泊酚加曲马多静脉麻醉用于无痛人流术 ,有良好的镇痛效果。Objective To explore the effect of two different intravenous anesthetic methods on analgesia of induced abortion.Methods One hundred and twenty patients undergoing termination of pregnancy were equally randomized into two groups. The observation group received tramadol 2mg/kg and additional propofol 1.5m/kg ten minutes later. The control group received propofol 2.5mg/kg only.Analgesic effect, cervical relaxation, amount of bleeding, abortion syndrome, and discharge time were recorded.Results The analgesic effect of propofol plus tramadol was better than that of propofol only (P<0.01), and discharge time in the observation group was earlier than that in the control group (P<0.01). There were no significant differences in cervical relaxation, morbidity and the amount of bleeding between the two groups (P>0.05).Conclusion Propofol plus tramadol provides a better analgesic effect.

关 键 词：曲马多 人工流产 无痛 护理 

分 类 号：R473.71[医药卫生—护理学]