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目的观察在无痛人工流产中应用舒芬太尼和丙泊酚联合麻醉的临床应用价值,并分析该麻醉方案对患者意识和生命安全的影响。方法选取2012年12月—2014年12月收治的择期行无痛人工流产手术的80例患者随机分成研究组(40例)和对照组(40例)。对照组术中单纯采用丙泊酚进行麻醉,研究组术中采用舒芬太尼和丙泊酚联合进行麻醉。观察和记录两组患者的麻醉效果。结果 1在镇痛效果上,研究组患者的显效率(97.5%)明显高于对照组(77.5%),差异有统计学意义(P<0.05)。2研究组患者的丙泊酚用量、意识及定向力恢复时间等指标均明显低于对照组,差异均有统计学意义(P<0.05)。3研究组患者苏醒后30min时的术后宫缩痛VAS评分明显低于对照组,差异均有统计学意义(P<0.05)。结论对无痛人工流产术患者采用舒芬太尼和丙泊酚联合麻醉具有良好的镇痛效果,且可以明显降低患者的术后宫缩痛情况,并且对于患者意识的影响时间较少,临床医师需要加强对患者的观察,以保障其人身安全。
Objective To observe the clinical value of sufentanil combined with propofol anesthesia in painless induced abortion and to analyze the effect of anesthesia on patient awareness and life safety. Methods Eighty patients randomized to elective painless abortion from December 2012 to December 2014 were randomly divided into study group (40 cases) and control group (40 cases). The control group was anesthetized with propofol during the operation. The study group was anesthetized with sufentanil and propofol. Observe and record the anesthetic effect of two groups of patients. Results 1 The analgesic effect, the study group markedly effective rate (97.5%) was significantly higher than the control group (77.5%), the difference was statistically significant (P <0.05). The propofol dosage, consciousness and the recovery time of directional force in study group were significantly lower than those in control group (P <0.05). 3 The VAS scores of postoperative contractions pain in study group 30min after awake were significantly lower than those in control group, with statistical significance (P <0.05). Conclusion The combination of sufentanil and propofol anesthesia in patients with painless abortion has a good analgesic effect, and can significantly reduce the postoperative uterine pain in patients with less impact on patient awareness, clinical Physicians need to strengthen the patient’s observation in order to protect their personal safety.