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目的 :观察复方芬太尼合剂在宫腔镜电切术中的镇痛疗效。方法 :对 5 5例子宫粘膜下肌瘤、宫内膜息肉、子宫不全纵隔、宫颈管息肉患者行宫腔镜电切前 ,将芬太尼 1μg/kg、氟哌利多 60 μg/kg、东莨宕碱 3 5 μg/kg,加入注射用水 10ml稀释。静脉缓慢推注 ,同时将 2 %利多卡因 3ml宫颈注射 ,观察麻醉效果、宫口松驰情况 ,记录推药前 ,推药后 3min ,手术时 ,手术后 5minBp、P、SPO2 等参数。结果 :复方芬太尼合剂应用于宫腔镜电切术 ,镇痛、镇静效果明显 ,有效率达 10 0 % ,处于清醒状态 ,血压心率无明显变化。结论 :复方芬太尼合剂静脉麻醉是宫腔镜下行电切术的适宜麻醉方法之一 ,可达到无痛的良好效果。
Objective: To observe the analgesic effect of compound fentanyl mixture in hysteroscopic electrotomy. Methods: Fifty-five patients with submucosal uterine fibroids, endometrial polyps, uterine mediastinum and cervical canal polyp were treated with hysteroscopic electrosurgical excision of fentanyl 1 μg / kg, droperidol 60 μg / kg, Dang base 3 5 μg / kg, diluted with 10 ml of water for injection. Slow intravenous injection, while 2% lidocaine 3ml cervical injection, observation of anesthesia, cervix relaxation conditions, record the push before the drug, 3min after the push, surgery, 5min after surgery Bp, P, SPO2 and other parameters. Results: Compound fentanyl mixture used in hysteroscopic resection, analgesic, sedation effect is obvious, the effective rate of 100%, in a clear state, no significant changes in blood pressure and heart rate. Conclusion: The combination of compound fentanyl and intravenous anesthesia is one of the suitable methods of anesthesia for hysteroscopic descending resection, which can achieve a painless and good effect.