摘要
目的:分析芬太尼加丙泊酚联合宫颈旁阻滞麻醉在无痛人工流产术中的镇痛效果。方法:选取2022年1—12月北京市延庆区妇幼保健院500例行无痛人工流产术患者,按照随机数字表法随机分为观察组(250例,芬太尼加丙泊酚联合宫颈旁阻滞麻醉)与对照组(250例,芬太尼加丙泊酚麻醉),分析两组麻醉效果、血流动力学指标、宫口扩张松弛度、临床指标、静脉用药量。结果:观察组麻醉效果优于对照组(P<0.05);观察组患者收缩压(SBP)、舒张压(DBP)高于对照组(P<0.05);两组心率(HR)比较,差异无统计学意义(P>0.05);观察组SpO_(2)水平高于对照组(P<0.05),但两组SpO_(2)的平均水平均处于正常范围(>95%);观察组患者宫口扩张松弛度高于对照组(P<0.05);观察组患者麻醉起效时间、离床时间、留观时间短于对照组,静脉用药量少于对照组(P<0.05)。结论:芬太尼加丙泊酚联合宫颈旁阻滞麻醉可提高对患者的麻醉效果,对患者血流动力学影响较小,术后恢复时间较短,可满足无痛人工流产术的需要。
Objective To analyze the analgesic performance of fentanyl plus propofol combined with paracervical block anesthesia in painless induced abortion.Methods A total of 500 cases of painless induced abortion patients in Yanqing Maternal and Child Health Hospital of Beijing were selected for study from January to December 2022,and were randomly divided into observation group(250 cases,fentanyl plus propofol combined with paracervical block anesthesia)and control group(250 cases,fentanyl plus propofol anesthesia).The patients were analyzed for anesthetic effects,hemodynamic indexes,uterine dilatation relaxation,clinical indexes,and intravenous drug consumption.Results The anaesthesia effect of patients in the observation group was significantly better than that of the control group(P<0.05);The systolic blood pressure(SBP)and diastolic blood pressure(DBP)levels of patients in the observation group was higher than that of the control group(P<0.05),and the difference in the levels of heart rate(HR)between the two groups was statistically insignificant(P>0.05).The level of SpO_(2) in observation group was higher than that in control group(P<0.05),but the average level of SpO_(2) in both groups was in the normal range(>95%).The dilatation and relaxation degree of the uterine orifice of patients in the observation group was significantly higher than that of the control group(P<0.05).The time of onset of anaesthesia,time of leaving the bed,and time of staying in the room of observation of patients in the observation group were statistically insignificant.In the observation group,the relaxation of the dilation of the uterus was significantly higher than that of the control group(P<0.05).The effective time of anesthesia,the time of leaving bed and the time of observation in the observation group were shorter than those in the control group,and the amount of intravenous drug in the observation group was less than that in the control group(P<0.05).Conclusions Fentanyl plus propofol combined with paracervical block anesthesia can
作者
贺晶
HE Jing(Department of Anesthesiology,Yanqing Maternal and Child Health Hospital of Beijing,Beijing 102100,China)
出处
《医药前沿》
2023年第20期53-55,共3页
Journal of Frontiers of Medicine
关键词
芬太尼
丙泊酚
无痛人工流产术
宫颈旁阻滞麻醉
Fentanyl
Propofol
Painless induced abortion
Paracervical block anesthesia
