论文部分内容阅读
目的:研究舒芬太尼、芬太尼复合异丙酚在无痛人工流产术中的应用价值和优势。方法:选取长兴县妇幼保健院妇产科门诊收治的247例自愿接受无痛人流术的早期妊娠患者,将所有患者随机分为3组,分别应用异丙酚、舒芬太尼复合异丙酚、芬太尼复合异丙酚。观察并记录3组患者的意识消失时间、苏醒时间、异丙酚用量、心率、血氧饱和度、术后下腹疼痛病例数及比例等情况。结果:舒芬太尼、芬太尼复合异丙酚后,可以减少异丙酚的用量,使患者手术前意识消失更快,而术后苏醒更早,且能显著减少术后的下腹宫缩痛。而应用舒芬太尼复合异丙酚比芬太尼复合异丙酚使患者意识消失时间更加缩短,可以减少异丙酚的用量。结论:舒芬太尼、芬太尼复合异丙酚,尤其是舒芬太尼复合异丙酚在无痛人工流产术中具有优势和广泛的临床应用价值。
Objective: To study the value and advantages of sufentanil and fentanyl in prophylactic abortion. Methods: A total of 247 patients with early pregnancy admitted to obstetrics and gynecology clinic in Changxing Maternal and Child Health Hospital were randomly divided into three groups. Propofol, sufentanil and propofol , Fentanyl compound propofol. Observe and record the time of consciousness disappearance, recovery time, propofol dosage, heart rate, oxygen saturation, the number and proportion of postoperative abdominal pain in the three groups. Results: Sufentanil and fentanyl combined with propofol can reduce the dosage of propofol, make patients disappear faster before surgery, and wake up earlier, and can significantly reduce the postoperative lower abdominal contractions pain. The application of sufentanil combined with propofol than fentanyl combined with propofol so that the disappearance of patients with less time consciousness, can reduce the amount of propofol. Conclusion: Sufentanil and fentanyl combined with propofol, especially sufentanil and propofol have advantages and extensive clinical value in painless artificial abortion.