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目的观察丙泊酚复合舒芬太尼静脉麻醉用于人工流产的临床效果。方法选择ASA 1~2级行无痛人工流产的患者50例,采取丙泊酚复合舒芬太尼静脉麻醉进行人工流产手术,观察麻醉效果及并发症发生情况。结果 50例患者中麻醉效果优45例(90.0%),良4例(8.0%),差1例(2.0%),优良率为98.0%;从注药至患者入睡时间为(1.12±0.67)min,注药完毕至唤醒时间为(10.6±5.3)min,完全清醒时间为(18.0±11.5)min,行走能力恢复时间为(28.3±11.7)min;入睡后血氧饱和度(Sp O2)有明显下降(P<0.05),但仍在安全范围内,余各指标无明显变化(P>0.05)。注射部位疼痛、肌痉挛的发生率。本组发生过敏反应1例,表现为面颈部斑片状红疹,余无特殊,呼吸循环平稳,未予特殊处理,术毕红疹消退。患者在恢复期未出现烦躁,初醒时48例(96.0%)诉头晕,5~10 min后均减轻或消失。结论丙泊酚复合舒芬太尼用于人工流产手术麻醉,可加强镇痛效果,减少丙泊酚的用量,是一种较安全有效的麻醉方法。
Objective To observe the clinical effect of intravenous propofol combined with sufentanil for artificial abortion. Methods Fifty ASA patients with grade 1 or 2 painless induced abortion were selected and treated with propofol and sufentanil for artificial abortion. The anesthetic effects and complications were observed. Results Among the 50 patients, the anesthetic effect was excellent in 45 cases (90.0%), good in 4 cases (8.0%) and poor in 1 case (2.0%), the excellent and good rates were 98.0% min, the awake time was (10.6 ± 5.3) min, the complete awake time was (18.0 ± 11.5) min, the walking ability recovery time was (28.3 ± 11.7) min; (P <0.05), but still within the safe range, with no significant changes in the other indicators (P> 0.05). Injection site pain, the incidence of muscle spasms. The group of allergic reactions in 1 case, manifested as face and neck patchy rashes, I no exception, stable respiratory cycle, no special treatment, rash subsided after surgery. In the recovery period, the patients showed no irritability. 48 cases (96.0%) v. Drowsiness when waking up and all disappeared or disappeared after 5 ~ 10 minutes. Conclusion Propofol combined with sufentanil for artificial abortion surgery anesthesia, can enhance the analgesic effect, reduce the dosage of propofol, is a safer and more effective anesthesia.