摘要
目的探讨在无痛人工流产术中采用丙泊酚联合盐酸戊乙奎醚麻醉方案的效果。方法选取120例行无痛人工流产术患者,根据随机数字表法分为对照组与研究组,每组60例。对照组采用丙泊酚麻醉,研究组在对照组基础上联合盐酸戊乙奎醚麻醉。比较两组麻醉效果、麻醉前后生命体征、宫颈松弛率及呛咳率。结果研究组呼吸暂停、麻醉起效与苏醒时间短于对照组,口腔分泌量少于对照组,差异具有统计学意义(P<0.05)。术前两组心率、收缩压、舒张压水平比较,差异无统计学意义(P>0.05);术中研究组心率、收缩压、舒张压水平均高于对照组,差异具有统计学意义(P<0.05)。研究组宫颈松弛率70.0%高于对照组的13.3%,呛咳率0低于对照组的25.0%,差异具有统计学意义(P<0.05)。结论在无痛人工流产术中采用丙泊酚联合盐酸戊乙奎醚麻醉方案,能减少口腔分泌量,保障呼吸,麻醉起效、苏醒快,维持生命体征稳定,可松弛宫颈,降低呛咳风险。
Objective To investigate the effect of propofol combined with penehyclidine hydrochloride in painless induced abortion.Methods 120 patients undergoing painless induced abortion were divided into control group and study group according to random number table method,with 60 cases in each group.The control group was anesthetized with propofol,and the study group was anesthetized with penehyclidine hydrochloride on the basis of the control group.The anesthetic effect,vital signs before and after anesthesia,cervical relaxation rate and cough rate were compared between the two groups.Results The time of apnea,anesthesia effect and recovery in the study group was shorter than that in the control group,and the oral secretion was less than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in heart rate,systolic blood pressure and diastolic blood pressure between the two groups before surgery(P>0.05).The heart rate,systolic blood pressure and diastolic blood pressure of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).The cervical relaxation rate of the study group was 70.0%higher than that of the control group(13.3%),and the cough rate of the study group was 0 lower than that of the control group(25.0%),the difference was statistically significant(P<0.05).Conclusion The combination of propofol and penehyclidine hydrochloride anesthesia in painless induced abortion can reduce oral secretion,ensure respiration,effective anesthesia,rapid recovery,maintain stable vital signs,relax the cervix,and reduce the risk of choking.
作者
顾海燕
Gu Haiyan(Department of Anesthesiology,Jianhu Maternal and Child Health Hospital,Yancheng 224700,China)
出处
《实用妇科内分泌电子杂志》
2023年第21期72-74,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
丙泊酚
盐酸戊乙奎醚
无痛人工流产术
麻醉效果
生命体征
Propofol
Penehyclidine hydrochloride
Painless induced abortion
Anesthetic effect
Vital sign
