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目的观察芬太尼用于异丙酚静脉全麻无痛人工流产的疗效,并探讨其安全性。方法将我院200例要求终止妊娠的健康孕妇随机分为异丙酚联合芬太尼无痛人工流产组(A组)及单用异丙芬无痛人工流产组(B组),比较两组的麻醉效果及术后各项指标。结果手术时间、出血量组间比较差异无统计学意义(P>0.05)。麻醉效果、苏醒时间、异丙酚用量、离院时间组间比较差异有统计学意义(P<0.05)。结论异丙酚联合芬太尼用于无痛人工流产麻醉效果确切,异丙酚有用量小,术后清醒快,呼吸、循环抑制轻,不增加不良反应的发生率等优点,值得临床广泛推广应用。
Objective To observe the effect of fentanyl on painless induced abortion of general anesthesia with propofol and its safety. Methods A total of 200 pregnant women who requested termination of pregnancy in our hospital were randomly divided into propofol and fentanyl induced abortion group (group A) and isoprofen painless induced abortion group (group B) Anesthesia and postoperative indicators. Results There was no significant difference between the operation time and bleeding volume (P> 0.05). The effects of anesthesia, awakening time, dosage of propofol and time of leaving hospital were significantly different (P <0.05). Conclusion Propofol combined with fentanyl for painless artificial abortion anesthesia, propofol a small amount of useful, awake quickly after surgery, respiration, inhibition of light, and does not increase the incidence of adverse reactions, etc., worthy of widespread clinical promotion application.