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目的观察地佐辛复合丙泊酚静脉麻醉应用于无痛人流麻醉的效果,为临床应用提供依据。方法选取医院收治的早孕妇女64例,均自愿接受无痛人流手术,按入院先后顺序分为观察组和对照组,每组32例。观察组给予地佐辛复合丙泊酚静脉麻醉,对照组给予芬太尼复合丙泊酚静脉麻醉,比较2组患者围术期生命体征变化、术中麻醉效果、不良反应及术后宫缩痛发生情况。结果 2组术前平均动脉压(MAP)、心率(HR)与术中、术后比较差异均有统计学意义(P<0.05);2组围术期各血流动力学指标及术中麻醉效果组间比较差异无统计学意义(P>0.05);观察组术中呼吸抑制发生率明显低于对照组(P<0.01);观察组术后子宫收缩痛发生率低于对照组(P<0.05)。结论地佐辛复合丙泊酚静脉麻醉应用于无痛人流麻醉镇痛效果好,并发症少,是一种较理想的无痛人流麻醉方法,具有推广应用价值。
Objective To observe the effect of dezocine combined with propofol intravenous anesthesia on painless anesthesia and provide the basis for clinical application. Methods Totally 64 cases of early pregnant women admitted to hospital were randomly assigned to receive painless abortion. According to the sequence of admission, the observation group and the control group were divided into two groups, 32 cases in each group. The observation group received intravenous anesthesia with dezocine plus propofol and the control group with fentanyl plus propofol. The changes of perioperative vital signs, anesthesia, adverse reactions and postoperative contractions were compared What happened? Results The preoperative mean arterial pressure (MAP) and heart rate (HR) were significantly different from those before and after surgery (P <0.05). The hemodynamic indexes and intraoperative anesthesia The incidence of intraoperative respiratory depression in the observation group was significantly lower than that in the control group (P <0.01). The incidence of postoperative uterine contractions in the observation group was lower than that in the control group (P < 0.05). Conclusion The combination of dezocine and propofol intravenous anesthesia in the analgesia of painless anesthesia is effective and has fewer complications. It is an ideal painless anesthesia method and has the value of popularization and application.