[目的]探讨丙泊酚复合芬太尼静脉麻醉行无痛人工流产的麻醉效果。[方法]选择无痛人流手术终止妊娠的早孕妇女132例,术前确诊为宫内妊娠,均行无痛人工流产。把患者随机分为观察组和对照组。观察组先静脉给予阿托品0.3mg,接着枸橼酸芬太尼0.05mg,1min后,缓慢推注丙泊酚2.0～2.5mg/kg,静注时间90～120s;对照组给予先给予静脉给予阿托品0.3mg,接着缓慢推注丙泊酚2.0～2.5mg/kg,静注时间90～120s。观察两组镇痛效果和麻醉效果。[结果]两组麻醉效果优比较,差异有统计学意义(P﹤0.05);两组镇痛效果有效率比较,差异有统计学意义(P﹤0.05)。[结论]行无痛人工流产时采用丙泊酚复合芬太尼静脉麻醉,麻醉效果良好,可以减少丙泊酚的用量,同时减少了呼吸和循环抑制。 [Objective] To investigate the anesthetic effects of intravenous anesthesia with propofol and fentanyl on painless induced abortion. [Methods] 132 cases of early pregnancy women who chose to stop the pregnancy by painless abortion were diagnosed intrauterine pregnancies preoperatively, all undergoing painless induced abortion. The patients were randomly divided into observation group and control group. The observation group received intravenous atropine 0.3mg, followed by fentanyl 0.05mg, 1min after the slow propofol injection 2.0 ~ 2.5mg / kg, intravenous 90 ~ 120s; the control group given intravenous atropine 0.3mg, then slowly push propofol 2.0 ~ 2.5mg / kg, intravenous injection time 90 ~ 120s. Analgesic effects and anesthetic effects were observed in both groups. [Results] There was significant difference between the two groups in the anesthetic effect (P <0.05). There was significant difference in the analgesic effect between the two groups (P <0.05). [Conclusion] Propofol combined with fentanyl intravenous anesthesia in painless induced abortion, with good anesthesia, can reduce the dosage of propofol, and reduce the respiratory and circulatory depression.