七氟烷复合瑞芬太尼麻醉用于无痛人流手术的临床观察  

Clinical observation on anesthesia of sevflurane and propofol in painless artificial abortion surgery patients

作　　者：姜徽[1] 王纯辉[1] 陈珂[1] 

机构地区：[1]安徽医科大学第一附属医院麻醉科,安徽合肥230022

出　　处：《安徽医药》2011年第6期754-755,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的观察七氟烷复合瑞芬太尼无痛人流手术的临床麻醉效果。方法将80例拟接受门诊无痛人工流产手术者随机分为丙泊酚复合瑞芬太尼组(PR组,n=40)和七氟烷复合瑞芬太尼组(SR组,n=40),监测并记录麻醉的诱导时间、苏醒时间、定向力恢复时间、术中肢动情况、心率、收缩压、舒张压和血氧变化以及术后的恶心呕吐和视觉模拟评分法(VAS)。结果麻醉诱导后两组收缩压、舒张压和心率差异无显著性(P>0.05);两组的诱导时间差异无显著性(P>0.05);PR组苏醒时间较SR组缩短(P<0.05),但定向力恢复时间延长(P<0.05);PR组术中肢动例数显著多于SR组(P<0.05);两组的血氧饱和度和术后VAS评分与诱导前相比差异均无显著性。结论七氟烷复合瑞芬太尼用于无痛人工流产手术麻醉效果满意。与丙泊酚复合瑞芬太尼比较,七氟烷复合瑞芬太尼麻醉术中更平稳、苏醒质量更高,适合用于无痛人工流产手术等短小手术。Aim To observe and compare the effects of general anesthesia of sevoflurane and propofol in painless artificial abortion surgery patients.Methods Eighty patients scheduled for painless artificial abortion surgery were randomly divided into sevoflurane group（group SR,n=40）and propofol group（group PR,n=40）.The two groups received either general anesthesia of sevoflurane or general anesthesia of propofol BP,HR,SPO2,BG 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（P0.05）.After anesthesia,there were significant shorten changes in induction,palinesthesia and recovery time of orientation force of group Pro than those of group Sev（P0.05）,but SPO2 could remain stable.Conclusion The induction time and palinesthesia time of propofol vein anesthesia are quicer,at the same time sevoflurane inhalation could remarkedly maintain induction stablity and decrease HR rate.

关 键 词：七氟烷 丙泊酚 瑞芬太尼 无痛人工流产手术 

分 类 号：R614[医药卫生—麻醉学]