丙泊酚用于初孕和再孕妇无痛人流的临床对比观察  

Contrasting observation on painless abortion in primigravida and duipara by propofol

作　　者：潘传建 文德才[2] 

机构地区：[1]达州市达县人民医院麻醉科,四川达县635000 [2]成都市第二人民医院麻醉科,成都610017

出　　处：《西部医学》2007年第3期384-384,386,共2页Medical Journal of West China

摘　　要：目的观察初孕妇和再孕妇两人群对丙泊酚无痛人流的量效关系。方法选择自愿无痛人流孕妇196例,初孕妇(A组)和再孕妇(B组)各98例,用丙泊酚复合芬太尼行静脉无痛人流,观察两组术中SBP、DBP、HK及SaO2的变化;记录清醒时间,统计丙泊酚用量。结果A组丙泊酚用量大于B组,A组术后2m in SaO2下降,两组不同时点的SBP、DBP、HK均在参考值范围内。结论初孕妇无痛人流时麻醉要比再孕妇深,相应对呼吸循环功能抑制也明显。Objective To observe the dose-effect relationship of propofol used for painless abortion in primigravida and duipara. Methods 196 patients who volunteered to receive painless abortion were divided into primigravida group （A,n= 98）） and duipara group （B,n= 98）. They used propofol and fentanyl for painless abortion. SBP, DBP, HK, and SpO2 were measured. The awaking time and dosage were recorded. Results Propofol dosage was obviously more in Group A than Group B（P〈0. 05）,but awaking time was longer. SpO2 was lower in Group A than Group B at 2 minutes after operation （P〈0. 05）. SBP, DBP and HK were within normal ranges in two groups. Conclusion The dosage of propofol used for painless abortion was more in primigravida than duipara, and correspondingly it brings about deeper inhibition of breath and circulation.

关 键 词：丙泊酚 无痛人流 初孕妇 再孕妇 

分 类 号：R169.43[医药卫生—公共卫生与预防医学] R714.21