丙泊酚联合芬太尼在门诊无痛人工流产术中的应用  

Application of propofol combined with fentanyl in painless artificial abortion

作　　者：文竹[1] 李娟[1] 

机构地区：[1]四川省绵阳市中心医院,621000

出　　处：《临床合理用药杂志》2014年第5期13-14,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的探讨丙泊酚复合芬太尼用于无痛人工流产术的麻醉效果。方法将40例行无痛人工流产术妇女随机分为试验组和对照组各20例,对照组单纯应用丙泊酚,试验组应用丙泊酚+芬太尼,观察2组麻醉效果及并发症发生情况。结果试验组苏醒时间短于对照组,丙泊酚用量少于对照组,术后VAS评分低于对照组,差异均有统计学意义(P<0.05);试验组注射痛、体动的发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论丙泊酚复合芬太尼用于无痛人工流产术麻醉效果显著,不良反应较轻,值得临床推广应用。Objective To investigate the anesthetic effect of propofol combined with fentanyl in painless artificial a- bortion. Methods According to the different anesthesia methods,40 patients with painless termination of pregnancy for women were divided into control group （propofol） and experimental group （propofol ＋ fentanyl）, the anesthetic effect and complication of 2 groups were compared. Results The recovery time, amount of propofol,VAS score of experimental group were less than that of control group, the differences were statistically significant（ P 〈 0.05 ） ; The incidence of injection pain and body movement in experimental group were lower than that in control group, and the difference was statistically significant （P 〈 0.05 ）. Conclusion Propofol combined with fentanyl has a good anesthetic effect on painless artificial abortion, with mild adverse reactions, which is worthy of clinical application.

关 键 词：丙泊酚 芬太尼 无痛人工流产 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]