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目的探讨异丙酚联合用药在人流术中的应用。方法选择2005年9月～2006年5月在我院自愿终止妊娠早孕妇女180例随机分为二组,各组90例。一组异丙酚20mg/kg,氯胺酮1mg/kg,人工静脉推注;二组芬太尼1mg/kg,异丙酚1.2mg/kg,人工静脉推注。监测血压、平均动脉压心率、血氧饱和度。术毕,观察腹痛、恶心、呕吐、嗜睡等情况。结果一组呼吸抑制、心率减慢等副反应少于二组,镇痛效果优于二组。结论在早孕无痛人工流产术中异丙酚辅以氯胺酮、芬太尼手推静脉给药,镇痛效果好,安全性高,苏醒时间短,适于门诊无痛人流。
Objective To investigate the application of propofol in abortion. Methods 180 cases of women with early pregnancy who voluntarily terminated pregnancy in our hospital from September 2005 to May 2006 were randomly divided into two groups, 90 cases in each group. A group of propofol 20mg / kg, ketamine 1mg / kg, artificial intravenous injection; two groups of fentanyl 1mg / kg, propofol 1.2mg / kg, intravenous injection. Blood pressure monitoring, mean arterial pressure heart rate, oxygen saturation. Surgery completed, observe abdominal pain, nausea, vomiting, drowsiness and so on. Results A group of respiratory depression, heart rate and other side effects less than two groups, analgesic effect is better than two groups. Conclusion Propofol is supplemented with ketamine and fentanyl in hand-induced abortion during early pregnancy. It has good analgesic effect, high safety, short recovery time and is suitable for outpatient painless.