检索规则说明:AND代表“并且”;OR代表“或者”;NOT代表“不包含”;(注意必须大写,运算符两边需空一格)
检 索 范 例 :范例一: (K=图书馆学 OR K=情报学) AND A=范并思 范例二:J=计算机应用与软件 AND (U=C++ OR U=Basic) NOT M=Visual
作 者:吴蓉蓉[1] 戴秀萍[1] 唐维莲[1] 柯玉琴[1] 赵庆[1] 钱梅[1] 汪先贵[1]
机构地区:[1]安徽医科大学第一附属医院麻醉科,合肥230022
出 处:《安徽医科大学学报》2003年第1期54-56,共3页Acta Universitatis Medicinalis Anhui
摘 要:目的 探讨小剂量芬太尼、异丙酚联合全麻用于人工流产术可行性和安全性。方法 64例ASAⅠⅡ级早孕妇女 ,静注芬太尼≤ 1 μg/kg ,于扩张宫颈前 ,缓慢静注异丙酚 ,诱导首次量 1mg/kg ,根据孕妇耐受扩宫、吸宫、清宫酌情追加麻药 ,记录收缩压、舒张压、心率、SpO2 变化、睫毛反射消失及恢复时间、用药量和不良反应。结果 静注异丙酚后血压上升 2例 ,下降 62例 ,其中 1例因服降压药 ,血压明显下降 ,需用升压药维持至手术后 6h。心率 <60次 /min7例 ,SpO2 下降至 94%以下 2 2例 ,下颌松驰 7例 ,有 2 2例睫毛反射迟顿 ,意识朦胧 ,对答切题 ,无痛觉。术毕 7min清醒 ,休息 2 0 30min离院。结论 小剂量芬太尼加异丙酚用于人工流产术的麻醉 ,可达到完善的镇静、镇痛作用 ,苏醒迅速。因总用药量小 ,推注速度慢 ,血压下降幅度与呼吸抑制大多较轻 ,但个体差异特别显著。Objective To investigate the possibility and security with small doses of fentanyl and propofol anesthesia for early pregnancy termin ation. Methods A total of 64 ASAⅠ~Ⅱearly pregnancy women were sched uled for this study. Before dilatating uterine cervit,fentanyl 1 μg/kg was inje cted per intravenous line followed by propofol 1mg/kg through iv slowly for indu ction. Then, according to the pregnancy women conditions to tolerate the operati on the anesthetics were added to maintain satisfactory anesthesia. During the op eration, the SBP, DBP, HR, SpO 2, times of vanishing and recovering, eyelash ja rk, doses and adverse reactions were recorded. Results During propofo l induction and operation, 42 case had loss ofconsciousnes s,but the other 2 2cases remained conscious with out complaints about pain .Intra pos to perative terms,nonausea and vomitting were observed .Other finding sincluded:BP declinein 62case ,lessthan 60 beat/minin 7cases,SpO2 lessthan 94%in 2 2cases,jawre laxin 7cases.After completion of operationallpa tient sgained consciousness(except for a few cases)fastranging from immediately to 7minas sessed by opening eyes,spontaneous wearete.Thetimeforhomereadinesswere 2 0 3 0min .Conclusion In travenousanes the sia with small doses of fentanyl and propofol for early termina tion pregnancyisa simple,safe and effective ane sthet icmethod.
关 键 词:芬太尼 临床观察 异丙酚 全麻 人工流产术 可行性 安全性
分 类 号:R169.42[医药卫生—公共卫生与预防医学] R614.2
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在链接到云南高校图书馆文献保障联盟下载...
云南高校图书馆联盟文献共享服务平台 版权所有©
您的IP:216.73.216.15