丙泊酚复合芬太尼麻醉用于人工流产术的效果分析  

Effect of propofol combined with fentanyl anesthesia on induced abortion

作　　者：李晨光 Li Chenguang(Department of Anesthesiology,Suzhou Science and Technology City Hospital,Suzhou 215153,China)

机构地区：[1]苏州科技城医院麻醉科,江苏苏州215153

出　　处：《实用妇科内分泌电子杂志》2021年第33期31-34,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨人工流产术应用丙泊酚复合芬太尼的麻醉效果。方法选择行人工流产术的94例患者为研究对象,根据随机数字表法分为对照组与研究组,每组47例。对照组单用丙泊酚麻醉,研究组接受丙泊酚复合芬太尼麻醉。分别在术前、手术开始2 min、手术结束时检测两组患者的呼吸频率、收缩压、舒张压以及心率;评估两组患者的术中体动情况;记录两组患者术后意识恢复时间、丙泊酚使用总量;在术后10 min使用视觉模拟疼痛量表(VAS)对患者疼痛感进行评估。结果术前,两组的呼吸频率、心率比较差异无统计学意义(P>0.05);手术开始2 min、手术结束时,研究组呼吸频率、心率均低于对照组,差异有统计学意义(P<0.05)。术前,两组的收缩压、舒张压比较差异无统计学意义(P>0.05);手术开始2 min、手术结束时研究组收缩压、舒张压均低于对照组,差异有统计学意义(P<0.05)。研究组的术中体动评分、术后10 min VAS评分均低于对照组,意识恢复时间短于对照组,丙泊酚使用总量少于对照组,差异均有统计学意义(P<0.05)。结论人工流产术应用丙泊酚复合芬太尼麻醉的效果优于单用丙泊酚,能够有效维持患者生命体征稳定,降低术中体动评分和术后10 min疼痛评分,减少丙泊酚的使用量,缩短术后意识恢复时间。Objective To investigate the anesthetic effect of propofol combined with fentanyl in induced abortion.Methods A total of 94 patients who underwent induced abortion were selected as subjects,and were divided into control group and study group according to random number table method,with 47 patients in each group.The control group was anesthetized with propofol alone,while the study group was anesthetized with propofol combined with fentanyl.The respiratory rate,systolic blood pressure,diastolic blood pressure and heart rate of the two groups were detected before the operation,2 minutes after the operation and at the end of the operation.The intraoperative body movements of the two groups were evaluated.Postoperative consciousness recovery time and the total amount of propofol were recorded in the two groups.The visual analog pain scale(VAS)was used to evaluate the patients'pain at 10 minutes after surgery.Results Before operation,there was no significant difference in respiratory rate and heart rate between the two groups(P>0.05).The respiratory rate and heart rate of the study group were lower than those of the control group 2 minutes after the operation and at the end of the operation,with statistical significance(P<0.05).Before operation,there was no significant diff erence in systolic and diastolic blood pressure between the two groups(P>0.05).The systolic blood pressure and diastolic blood pressure of the study group were lower than those of the control group 2 minutes after the operation and at the end of the operation,the differences were statistically signifi cant(P<0.05).The intraoperative body motion score and postoperative VAS score of 10 minutes in the study group were lower than those in the control group,the time of consciousness recovery was shorter than that in the control group,and the total use of propofol was lower than that in the control group,the differences were statistically signifi cant(P<0.05).Conclusion The effect of propofol combined with fentanyl anesthesia in induced abortion is bette

关 键 词：丙泊酚 芬太尼 麻醉 人工流产术 

分 类 号：R614[医药卫生—麻醉学]