摘要
目的观察瑞芬太尼联合丙泊酚用于无痛人工流产术麻醉中的可行性和安全性,并与单独使用丙泊酚行无痛人工流产术麻醉进行比较。方法选择门诊Ⅰ～Ⅱ级早期妊娠需无痛人工流产术者60例,随机分成两组,每组30例,丙泊酚组(P组):丙泊酚2.5mg/kg持续静脉滴注60s,必要时追加丙泊酚0.5～1.0mg/kg;瑞芬太尼+丙泊酚组(RP组):静脉滴注瑞芬太尼1.0μg/kg、丙泊酚1mg/kg持续静脉滴注60s,随后静脉泵入瑞芬太尼0.1μg/(kg·min)。结果两组患者对镇痛效果满意,RP组苏醒时间短于P组,RP组体动反应、术中低血压发生少于P组,两组比较差异有统计学意义(P<0.05)。结论瑞芬太尼联合丙泊酚用于无痛人工流产术,麻醉效果满意,不良反应少。
Objective To observe the feasibility and safety of remifentanil combined with propofol on anesthesia for painless induced abortion ,compare with propofol on anesthesia for painless induced abortion. Methods Sixty cases with grade of ASA Ⅰ -Ⅱ undergoing induced abortion were randomly divided into two groups （ n =30）;propofol group （group P） and remifentanil and propofol group （group RP）. Group P was anesthetized with propofol 2. 5 mg/kg by intravenous injection for 60 seconds. Adding propofol 0. 5 -1. 0 mg/kg if needed,group RP was anesthetized with remifentanil 1 μg/kg and propofol 1 mg/kg by intra-venous injection for 60 seconds,then pumped with remifentanil 0. 1 μg/（kg·min）. Results Two groups were provided with satisfactory anesthesia effects. The regain consciousness time in group RP was shorter than that in group P. The incidence of phys-ical moving and low pressure in group RP was lower than that in group P. There was significant difference between the two groups （ P〈0.05）. Conclusion The effect of remifentanil combined with propofol on anesthesia for painless induced abortion is satisfactory,and the side effects are little.
出处
《临床医学》
CAS
2010年第2期20-21,共2页
Clinical Medicine
关键词
瑞芬太尼
丙泊酚
无痛人工流产
Remifentanil
Propofol
Painless induced abortion
