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异丙酚、芬太尼用于初孕和再孕妇女无痛人流的观察 被引量:4

Clinical investigation of propofol & fentanyl in painless induced abortion
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摘要 目的 研究初次妊娠和非初次妊娠妇女对异丙酚用药量及其血流动力学影响。方法 选择 63例早期妊娠要求无痛人流手术妇女 ,ASA :Ⅰ级 ,按妊娠次数分两组 ,Ⅰ组 :初次妊娠组 (n =3 1) ,Ⅱ组 :非初次妊娠组 (n =3 2 )。芬太尼 4 0~ 5 0 μg静脉注射 ,然后静脉注射异丙酚 ,计算异丙酚和芬太尼总用药量。记录麻醉前 ,术中、术毕SBP、DBP、HR、SPO2 、手术时间和麻醉恢复时间。结果 Ⅰ组异丙酚总用量明显多于Ⅱ组 (P <0 0 5 ) ,麻醉前I组受术者的HR明显高于Ⅱ组 (P <0 0 1)。结论 初次妊娠者对异丙酚的总用量明显多于非初次妊娠者 。 AIM To investigate the dosage & hemodynamics of propofol to the first pregnant women and the non first pregnant ones in painless induced abortion. METHODS Sixty three early pregnant women who they asked painless abortion were selected for the experiment, (ASAⅠgrade). These women were classified into two groups by number of pregnancy. The Ⅰgroup ( n =31) was first pregnant women, and the Ⅱgroup ( n =32) non first pregnant ones. All women were injected fentanyl (40~50 μg) & propofol which were calculated in all. SBP,DBP,HR,SPO 2 were monitored during perioperation and recorded before anesthesia, in operation, at operative end . Simultaneously time of anesthesia recovery & operation was recorded. RESULTS The propofol's dosage of Ⅰgroup was over one of Ⅱgroup (P <0 05) and the HR of Ⅰgrade women significantly surpassed one of Ⅱgroup those( P <0 01). CONCLUSIONS The Ⅰ group women dosage of propofol is over one of Ⅱgroup those and they are very strain before anesthesia.
出处 《安徽医药》 CAS 2003年第2期104-105,共2页 Anhui Medical and Pharmaceutical Journal
关键词 异丙酚 芬太尼 再孕妇女 无痛人流 观察 初孕妇女 propofol painless induced abortion anesthesia
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