地佐辛注射液肾俞穴注射对无痛人流术麻醉效果及术后宫缩痛的影响  

Investigation of the anesthetic effect of shenshu point injection of dezocine injection on painless induced abortion and the effect of postoperative uterine contraction pain

作　　者：魏淑莲[1] 王俐红[2] 苏心镜[3] 

机构地区：[1]河北北方学院附属第二医院药剂科,河北张家口075100 [2]河北北方学院附属第二医院妇产科,河北张家口075100 [3]河北北方学院附属第二医院麻醉科,河北张家口075100

出　　处：《河北中医》2015年第9期1314-1317,共4页Hebei Journal of Traditional Chinese Medicine

摘　　要：目的探讨地佐辛注射液肾俞穴注射对无痛人流术麻醉效果及术后宫缩痛的影响。方法将120例拟行无痛人流术患者随机分为3组,每组40例。联合穴位注射组予地佐辛注射液肾俞穴注射联合丙泊酚注射液静脉麻醉,联合肌肉注射组予地佐辛注射液肌肉注射联合丙泊酚注射液静脉麻醉,单纯丙泊酚组予单纯丙泊酚注射液静脉麻醉。观察比较3组麻醉效果;术前、术中、术后收缩压(SBP)、心率(HR)及血氧饱合度(SpO_2)变化;丙泊酚应用次数与剂量;手术时间及术后苏醒时间;术后宫缩痛疼痛视觉模拟评分法(VAS)评分;药物不良反应(恶心及呕吐)。结果联合穴位注射组麻醉效果明显优于联合肌肉注射组及单纯丙泊酚组(P<0.05),且术中、术后SBP、HR及SpO_2水平维持平稳,均无明显变化(P>0.05);联合穴位注射组丙泊酚应用次数与剂量、术后苏醒时间及术后宫缩痛VAS评分均低于联合肌肉注射组及单纯丙泊酚组(P<0.05),手术时间与联合肌肉注射组及单纯丙泊酚组比较差异无统计学意义(P>0.05);联合穴位注射组恶心发生情况少于联合肌肉注射组及单纯丙泊酚组(P<0.05),呕吐发生情况与联合肌肉注射组及单纯丙泊酚组比较差异无统计学意义(P>0.05)。结论地佐辛注射液肾俞穴注射能显著提高无痛人流术的麻醉效果,维持患者术中、术后SBP、HR及SpO_2平稳,减少丙泊酚应用次数与剂量,缩短术后苏醒时间,减轻术后宫缩痛,减少药物不良反应,提高了无痛人流术的安全性。Objective To investigate the anesthetic effect of shenshu point injection of dezocine injection on painless induced abortion and the effect of postoperative uterine contraction pain. Methods 120 patients scheduled to undergo painless induced abortion were randomly divided into three groups ,40 patients in each group. Patients in com- bined point injection group were treated by shenshu point injection of dezocine combined with propofol intravenous an- esthesia. Patients in combined intramuscular injection group were treated by dezocine intramuscular injection com- bined with propofol intravenous anesthesia. Patients in simple propofol group were treated by simple propofol intrave- nous anesthesia. The anesthetic effect was observed and compared in three groups. The changes of systolic blood pres- sure （SBP） , heart rate （HR） and oxygen saturation （SpO2 ） before, during and after operation were observed in three groups, as well as the application time and doses of propofol. The operative time, recovering time, the visual analogue scale （VAS） score of postoperative uterine contraction pain and the adverse drug reaction （nausea and emesis） were observed in three groups. Results The anesthetic effect in combined point injection group was obviously superior to that in combined intramuscular injection group and simple propofol group （P 〈 0.05 ）. The levels of SBP, HR and SpO2 were stable, and there was no siznificant chanze （P 〉 0.05 ）. The annlication time and doses of propofol, recove-ring time and VAS score of postoperative uterine contraction pain in combined point injection group were lower than those in combined intramuscular injection group and simple propo- fol group （ P 〈 0.05 ） , and there was no significant difference on operative time （P 〉 0.05 ）. The occurrence of nausea in combined point injection group was less than that in com-bined intramuscular injection group and simple propofol group （P 〈 0. 05）, and there was no significant difference on the occurren

关 键 词：流产 人工 麻醉药 静脉 麻醉 肾俞 穴位疗法 

分 类 号：R169.421[医药卫生—公共卫生与预防医学] R614.24