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目的:探讨丙泊酚联合芬太尼复合麻醉在无痛人流术中的安全性和有效性。方法:选择自愿无痛人流术患者100例,随机分为观察组50例:静脉丙泊酚联合芬太尼组;对照组50例:静脉丙泊酚组。观察和监测2组术中ECG、HR、MAP、SpO_2变化,丙泊酚的给药量及维持量和麻醉疗效。结果:观察组与对照组比较,其术中体动发生率明显低于、麻醉维持量明显少于对照组(P<0.05)。结论:丙泊酚联合芬太尼用于无痛人流术具有良好镇痛效果,能减少丙泊酚用量且不增加术中不良反应,值得临床推广应用。
Objective: To investigate the safety and efficacy of propofol combined with fentanyl anesthesia in painless abortion. Methods: A total of 100 patients with voluntary painless abortion were randomly divided into observation group (50 cases): intravenous propofol combined with fentanyl group (50 cases) and intravenous propofol group (50 cases). The changes of ECG, HR, MAP and SpO_2 in the two groups during operation were observed and monitored. The dosage of propofol, the maintenance dose and anesthesia were observed. Results: Compared with the control group, the incidence of physical activity in the observation group and the control group was significantly lower than that in the control group (P <0.05). Conclusion: Propofol combined with fentanyl for painless abortion has good analgesic effect, can reduce the dosage of propofol and does not increase intraoperative adverse reactions, it is worthy of clinical promotion and application.