七氟醚和异丙酚麻醉用于无痛人流手术的临床观察  

Clinical observation on painless artificial abortion surgery of general anesthesia of sevoflurane and propofol

作　　者：杨华[1] 张厚忠[1] 李红霞[2] 

机构地区：[1]吉林大学第二医院麻醉科,吉林长春130041 [2]吉林省辉南县第三人民医院麻醉科

出　　处：《中国妇幼保健》2008年第20期2844-2845,共2页Maternal and Child Health Care of China

摘　　要：目的:对比七氟醚和异丙酚对无痛人流手术的麻醉效果。方法:将40例拟接受门诊无痛人工流产病人随机分为七氟醚吸入组(Sev组,n=20)和异丙酚静脉组(Pro组,n=20),监测并记录麻醉的诱导速度、苏醒时间、定向力恢复时间、术中肢动情况及心率、收缩压、舒张压及血氧变化。结果:诱导后Sev组SBP、DBP、HR与诱导后Pro组差异显著(P<0.05),Pro组诱导时间、苏醒时间和定向力恢复时间均较Sev组显著缩短(P<0.05),两组的血氧与诱导前相比均无显著性差异。结论:异丙酚静脉麻醉诱导起效更快,苏醒时间更短,而七氟醚吸入麻醉诱导对心率的影响更小,诱导更平稳。Objective： To observe and compare the effects of general anesthesia of sevoflurane and propofol on painless axtifieial a- bortion surgery. Methods： Fourty patients scheduled for painless artificial abortion surgery were randomly divided into sevoflurane group （ group Sev, n = 20） and propofol group （ group Pro, n = 20）. The two groups received either general anesthesia of sevoflurane or general anesthesia of propefol. BP, HR, BG, SpO2 were recorded before and after anesthesia at 2 min and the end of surgery respectively. Results： Between SBP, DBP, HR of group Sev and group Pro there were significant changes （P 〈 0. 05 ）. After anesthesia, there were significant shorten changes on induction, palinesthesia and recovery time of orientation force of group Pro than those of group Sev （P 〈 0. 05 ）, but SpO2 could remain stable. Conclusion： The induction time and palinesthesia time of propofol vein anesthesia are more quick, at the same time sevoflurane inhalation could remarkedly maintain induction stable and decrease HR rate.

关 键 词：七氟醚 异丙酚 无痛人工流产手术 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]