摘要
目的观察盐酸瑞芬太尼复合丙泊酚在无痛人流术中应用的麻醉效果。方法拟行无痛人流术的健康早孕妇女120例,随机分为两组,每组60例。A组静脉注射丙泊酚2～2.5mg/kg,术中根据肢动情况需要时追加丙泊酚0.5mg/kg;B组静脉注射瑞芬太尼0.5μg/kg后静脉给予丙泊酚2mg/kg。结果两组均能为人工流产术提供有效的镇痛,但B组麻醉效果优于A组,丙泊酚用药量减少,术后苏醒快,不良反应减少及满意率增高(P<0.05)。结论瑞芬太尼联合丙泊酚应用于无痛人流术有一定的优越性,是安全、有效的人工流产镇痛方法。
Objective To observe the anesthetic effect of the remifentanil hydrochloride and propofol in painless abortion. Methods 120 patients of normal early pregnancy undergoing painless abortion were randomly divided into two groups named group A and B. 60 cases in group A were intravenous injected with propofol 2-2.5 mg/kg and additional propofol 0.5 mg/kg was required according to the limb movement. 60 cases in group B were intravenous injected with remifentanil 0.5 μg/kg and propoflo 2 mg/kg. Results The two groups were able to induced abortion with effective analgesia. The group B was better than group A with decreased dosage of propofol, quicker postoperative recovery, less adverse reactions and increased satisfactory （P〈0.05）. There were statistical significance between the two groups. Conclusion The combinations of remi-fentanil and propofol used in painless abortion have some advantages of safety and effect.
出处
《医学研究与教育》
CAS
2010年第2期40-41,51,共3页
Medical Research and Education
