无痛人工流产术中丙泊酚与芬太尼配伍应用的麻醉疗效研究  

作　　者：刘海艳[1] 张志龙[1] 

机构地区：[1]济宁医学院附属医院,山东济宁272000

出　　处：《中国医学装备》2014年第B08期49-49,共1页China Medical Equipment

摘　　要：目的:探讨无痛人工流产术中丙泊酚与芬太尼配伍使用的麻醉疗效。方法:2009年10月至2012年12月,我院流产室共接收行人工流产的早孕妇女70例,随机分为观察组和对照组,丙泊酚联合小剂量芬太尼组35例为观察组,单纯丙泊酚组35例为对照组。结果:两组孕妇镇痛效果和肌松效果比较差异具有统计学意义(P<0.05);两组孕妇各时段血压和体温无明显变化;两组孕妇前后的心率值比较,差异具有统计学意义(P<0.05);治疗后SBP和DBP两组差异也有统计学意义(P<0.05)。结论:丙泊芬与芬太尼联合用于无痛人流起效快,孕妇镇痛效果和肌松效果好,同时对孕妇的循环系统影响也较小,可做为无痛人工流产术中麻醉镇痛的优选药物。Objective： To investigate the effect of propofol and fentanyl anesthesia using compatibility in painless induced abortion. Methods： in 2009 October to 2012 December in our hospital were receiving chamber abortion, induced abortion for early pregnancy women in 70 cases, were randomly divided into observation group and control group, propofol combined with small dose of fentanyl group with 35 cases of the observation group, propofol group and 35 patients in the control group. Results： there were significant differences between the two groups of pregnant women, analgesia and muscle relaxation effect （P 〈 0.05）; blood pressure and temperature of two groups of pregnant women in each period of time has no obvious change; the two groups before and after the maternal heart rate value comparison, the difference was statistically significant （P 〈 0.05）; after treatment between two groups SBP and DBP were also statistically significance （P 〈 0.05）. Conclusion： propofol combined with fentanyl in painless induced abortion analgesia effect of rapid onset, pregnant women and muscle relaxation effect, also affect the circulatory system for pregnant women is also small, can be used as the preferred drug anesthesia in painless induced abortion.

关 键 词：丙泊酚 芬太尼 无痛人工流产术 麻醉效果 肌松程度 

分 类 号：R614[医药卫生—麻醉学]