异丙酚静脉麻醉在人工流产术中的应用  

The application of venous anesthesia with propofol in induced abortion

作　　者：李燕萍[1] 甄劲仪[1] 

机构地区：[1]佛山市南方医科大学附属南海医院妇产科,广东佛山528200

出　　处：《临床和实验医学杂志》2009年第11期38-39,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨异丙酚静脉麻醉下行人工流产手术的临床效果。方法选择自愿要求终止妊娠的早孕妇女,分异丙酚组300例、利多卡因组300例及对照组200例进行对比分析。结果异丙酚组用药后收缩压(SBP)、舒张压(DBP)、心率(HR)、呼吸(R)、血氧饱和度(SpO2)等指标较用药前均呈下降趋势,但差异无显著性(P>0.05)。异丙酚组镇痛有效率为100%,显著高于利多卡因组(69.67%)和对照组(26.00%),3组的镇痛有效率比较,差异有显著性(P<0.01)。异丙酚组无1例人工流产综合征发生,而利多卡因组发生率为4.67%,对照组为34.50%,3组比较差异有显著性(P<0.01)。3组在出血量上差异无显著性(P>0.05)。结论异丙酚静脉麻醉用于人工流产术镇痛效果明显,可降低人工流产综合征的发生率,且无明显呼吸抑制作用,不增加出血量,值得临床推广应用。Objective To observe the clinic effect of venous anesthesia with propofol for induced abortion.Methods Eight hundred early pregnant women demanded for induced abortion were divided into 3 groups：propofol group（300 cases）,lidocaine group（300 cases）and control group（200 cases）.Results The parameters as SBP,DBP,HR,R and SPO2 were descended after application of propofol,but their differences were not significant（P0.05）.The efficient analgesia in propofol group（100%）was significantly better than that of lidocaine（69.67%）and control（26.00%）groups,and their differences were significant（P0.01）.Induced abortion syndrome was not seen in cases of propofol group,its incidence rates in cases of lidocaine and control group were 4.67% and 34.50% respectively,and their differences were significant（P0.01）.The difference of hemorrhage among these 3 groups was not significant（P0.05）.Conclusion Propofol is good for indolent induced abortion with advantages of good analgesic effect,low incidence of induced abortion syndrome and less respiratory depression and hemorrhage.

关 键 词：异丙酚 人工流产术 静脉麻醉 

分 类 号：R614[医药卫生—麻醉学] R169.42[医药卫生—外科学]