摘要
目的探讨将丙泊酚联合芬太尼应用于无痛人流术患者麻醉中的效果,分析对患者麻醉质量产生的影响。方法70例行无痛人流术的患者,随机分为对照组与实验组,各35例。对照组给予丙泊酚麻醉,实验组给予丙泊酚联合芬太尼麻醉。对比两组麻醉优良率、手术时及手术后的疼痛评分、手术麻醉情况。结果实验组麻醉优良率94.29%高于对照组的65.71%,差异有统计学意义(P<0.05)。实验组手术时及手术后的视觉模拟评分法(VAS)评分均低于对照组,差异有统计学意义(P<0.05)。实验组丙泊酚用量(2.65±0.36)ml低于对照组的(4.48±0.25)ml,术后苏醒时间(5.32±0.26)min短于对照组的(8.36±0.45)min,差异有统计学意义(P<0.05)。结论在对无痛人流术手术患者进行麻醉时,应用丙泊酚联合芬太尼麻醉,能够获得良好的效果,并且具有较高的安全性,值得进行推广。
Objective To discuss the effect of propofol combined with fentanyl intravenous anesthesia for painless induced abortion,and analyze its influence on quality of anesthesia.Methods A total of 70 patients undergoing painless induced abortion were randomly divided into control group and experimental group,with 35 cases in each group.The control group received propofol anesthesia,and the experimental group received propofol combined with fentanyl anesthesia.The excellent and good rate of anesthesia,pain score during and after surgery,and surgical anesthesia were compared between the two groups.Results The excellent and good rate of anesthesia 94.29%in the experimental group was higher than 65.71%in the control group,and the difference was statistically significant(P<0.05).The visual analogue scale(VAS)scores of the experimental group during and after surgery were lower than those of the control group,and the difference was statistically significant(P<0.05).The amount of propofol(2.65±0.36)ml in the experimental group was lower than(4.48±0.25)ml in the control group,and the postoperative recovery time(5.32±0.26)min was shorter than(8.36±0.45)min in the control group,and the difference was statistically significant(P<0.05).Conclusion Propofol combined with fentanyl anesthesia can obtain good effect and high safety in painless induced abortion,which is worthy of promotion.
作者
李志民
LI Zhi-min(Chaoyang County Central Hospital,Chaoyang 122000,China)
出处
《中国实用医药》
2022年第2期143-145,共3页
China Practical Medicine
关键词
无痛人流
丙泊酚
芬太尼
血流动力学
Painless induced abortion
Propofol
Fentanyl
Hemodynamics
