摘要
目的:对比分析丙泊酚复合芬太尼或舒芬太尼用于门诊无痛人流手术的效果。方法:收治行无痛人流患者86例,平分两组,A组复合使用丙泊酚和芬太尼,B组复合使用丙泊酚和舒芬太尼,观察、分析相关指标。结果:和麻醉前比较,两组患者术中和麻醉苏醒后均出现不同程度的呼吸抑制,其中A组和麻醉前相比较,差异有统计学意义(P<0.05);A组和B组患者术中MAP均下降,且A组和麻醉前对比,差异有统计学意义(P<0.05);B组患者宫口扩张松弛优良率高于A组,苏醒时间比A组短,丙泊酚使用剂量少于A组,且术后子宫收缩疼痛评分也比A组低(P<0.05)。结论:在门诊无痛人流中复合使用丙泊酚和舒芬太尼与复合使用丙泊酚和芬太尼进行比较,药物用量少,在扩张宫颈以及减轻术后子宫收缩痛方面具有显著优势。
Objective:To compare and analyze the effect of propofol combined with fentanyl or sufentanil in outpatient painlessabortion.Methods:86cases with painless abortion were selected.They were randomly divided into the two groups on average.Thegroup A was treated with propofol combined with fentanyl.The group B was treated with propofol combined with sufentanil.Weobserved and analyzed the index.Results:Compared with before anesthesia,two groups of patients with different degrees ofrespiratory depression occurred after anesthesia and recovery,the group A was statistically significant compared with that beforeanesthesia(P<0.05).In the group A and the group B,the intraoperative MAP was decreased,and the difference between the Agroup and before anesthesia was statistically significant(P<0.05).The dilatation and relaxation rate of the group B was higher thanthat of the group A;the recovery time was shorter than that of the group A;the dose of propofol was less than the group A;thepostoperative uterine contraction pain score was lower than that of the group A(P<0.05).Conclusion:The comparison of propofolcombined with fentanyl or sufentanil in outpatient painless abortion,with less drug use,it has a significant advantage in theexpansion of the cervix and the reduction of postoperative uterine contraction pain.
作者
范胜军
葛敏
胡增玲
韦香庆
Fan Shengjun;Ge Min;Hu Zengling;Wei Xiangqing(Traditional Chinese Medicine Hospital of Guannan County,Lianyungang City,Jiangsu Province 222500)
出处
《中国社区医师》
2017年第16期36-37,共2页
Chinese Community Doctors
