异丙酚用于早期妊娠人工流产手术麻醉的价值分析  

Value of Propofol in Anesthesia for Induced Abortion in Early Pregnancy

作　　者：夏伟伟 Xia Weiwei(Zunyi Maternal and Child Health Hospital,Zunyi 563000,Guizhou Province,China)

机构地区：[1]遵义市妇幼保健院,贵州遵义563000

出　　处：《中外医药研究》2024年第34期54-56,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析早期妊娠人工流产手术应用异丙酚麻醉的价值。方法:选取2023年1—12月拟于遵义市妇幼保健院行人工流产手术的患者96例为研究对象,采用随机数字表法分为对照组和观察组,各48例。对照组予以利多卡因麻醉,观察组予以异丙酚麻醉。对比两组血流动力学指标、疼痛情况及术后呕吐发生情况。结果:术中,两组心率低于术前(P<0.05);术后,两组心率低于术前与术中,但观察组高于对照组(P<0.05)。术中,两组平均动脉压低于术前(P<0.05);术后,两组平均动脉压高于术中,对照组低于术前,观察组高于对照组(P<0.05)。术中,对照组血氧饱和度低于术前,且低于观察组(P<0.05);术后,对照组血氧饱和度高于术中但低于术前,且低于观察组(P<0.05)。对照组术后15 min、30 min视觉模拟评分法(VAS)评分高于术后5 min,术后60 min VAS评分高于术后5 min、15 min(P<0.05);术后各时间,观察组VAS评分低于对照组(P<0.05)。观察组术后呕吐程度轻于对照组(P=0.020)。结论:早期妊娠人工流产手术中采用异丙酚麻醉中能够使患者的血流动力学指标更加稳定,镇痛效果理想,且术后呕吐程度较轻。Objective:To analyze the value of propofol anesthesia in early pregnancy induced abortion.Methods:A total of ninetysix patients with induced abortion planned to be performed in Zunyi Maternal and Child Health Hospital from January to December 2023 were selected as the research objects,and were divided into control group and observation group by random number table method,with forty-eight cases in each group.The control group was given lidocaine anesthesia,and the observation group was given propofol anesthesia.The hemodynamic indexes,pain and postoperative vomiting were compared between the two groups.Results:During operation,the heart rate of two groups was lower than before operation(P<0.05);after operation,the heart rate of the two groups was lower than before and during operation,but the observation group was higher than the control group(P<0.05).During operation,the mean arterial pressure in both groups was lower than before operation(P<0.05).After operation,the mean arterial pressure of the two groups was higher than that during operation,the control group was lower than before operation,and the observation group was higher than the control group(P<0.05).During the operation,the blood oxygen saturation in the control group was lower than before the operation and lower than that in the observation group(P<0.05);after operation,the blood oxygen saturation in control group was higher than that in operation but lower than before operation,and lower than that in observation group(P<0.05).The visual analogue scale(VAS)scores of 15 min and 30 min after operation were higher than those of 5 min after operation,and the VAS scores of 60 min after operation were higher than those of 5 min and 15 min after operation(P<0.05);the VAS score of the observation group was lower than that of the control group at each time after operation(P<0.05).Postoperative vomiting was less in the observation group than in the control group(P=0.020).Conclusion:The use of propofol anesthesia in early pregnancy induced abortion can make the

关 键 词：异丙酚 早期妊娠 人工流产手术 麻醉 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]