氯胺酮静脉麻醉在人工流产中的应用  

The Application of Ketamine Intravenous During the Induced Abortion Anesthesia

作　　者：李湘蓉[1] 李文敏[1] 

机构地区：[1]成都市第六人民医院,四川成都610072

出　　处：《成都医药》2003年第1期12-13,共2页

摘　　要：目的 :观察氯胺酮配伍阿托品、胃复安在人工流产中的疗效。方法 :对 2 0 0例早孕妇女在常规消毒的同时 ,静脉注射氯胺酮 0 2mgkg- 1、阿托品 0 2 5mg、胃复安 10mg ,观察麻醉效果、宫口松弛、人工流产综合征 (PAAS)发生率及出血量、血压 ,脉搏的变化。结果 :氯胺酮配伍阿托品、胃复安应用于人工流产术 ,镇痛效果明显 ,有效率达 10 0 % ,与对照组比较 ,差异有显著性 (P<0 0 1) ,宫口松弛与对照组比较有显著差异 (P <0 0 1) ,无一例发生PAAS ,与对照组比较有显著差异 (P <0 0 1)。血压、心率无明显变化 ,出血量与对照组比较无显著差异。结论 :氯胺酮加阿托品、胃复安静脉注射 ,是人工流产术适宜麻醉之一 ,效果良好。Objective:To observe the effect of ketamine combined with atropine and paspertin intravenous during the induced abortion Methods:Selected 200 early pregnancy women They were disinfected by traditional way At the same time intravenous ketamine 0 2 mg kg -1 ,atropine 0 25 mg,paspertine 10mg To assess anesthesia result and uterine os relaxation and the rate of the PAAS occurrence and bleed volume as well as the variety of blood pressure and pulses Result:ketamine combined with atropine and paspertin intravenous during the induced abortion have reduced pain obviously and the efficiency is 100%.There are significant differences compared with control group( P <0 01) The rate of uterine os relaxation has significant differences compared with control group( P <0 01) PAAS is none (study group vs contol group P <0 01) Compared with the control group bleed volume as well as blood pressure and heart rate have no obviously differences Conclusion:Intravenous ketamine combined with atropine and paspertin is one of the satisfactory anesthesia for the induced abortion

关 键 词：人工流产术 氯胺酮 阿托品 胃复安 静脉注射 

分 类 号：R713.41[医药卫生—妇产科学]