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目的探讨心理干预联合丙泊酚+瑞芬太尼在人工流产术中的临床效果观察。方法拟行人工流产术的患者60例,随机分为两组:Ⅰ组为对照组,Ⅱ组为心理干预组。Ⅰ组常规丙泊酚+瑞芬太尼,Ⅱ组为心理干预联合丙泊酚+瑞芬太尼。结果实施心理干预组比对照组生理干扰小,麻醉过程较平稳,丙泊酚的用量,呼吸抑制、术中出现的体动及其他不良反应发生率低于对照组;苏醒时间明显短于对照组,麻醉效果达优率明显比对照组高。结论心理干预联合丙泊酚+瑞芬太尼用于人工流产术是一种安全、有效的方法,既能减轻患者术中、术后精神与躯体的并发症,又能缩短患者留院观察的时间,有利于患者心理、生理的早日康复。
Objective To investigate the clinical effect of psychological intervention combined with propofol and remifentanil in induced abortion. Methods Sixty patients with intentional abortion were randomly divided into two groups: group Ⅰ as control group and group Ⅱ as psychological intervention group. Group Ⅰ was given propofol and remifentanil, group Ⅱ was psychological intervention combined with propofol and remifentanil. Results Compared with the control group, the intervention group had less physiological disturbance and anesthesia, and the propofol consumption, respiratory depression, body movement and other adverse reactions during operation were lower than those in the control group; the recovery time was significantly shorter than that in the control group , The anesthesia effect rate was significantly higher than the control group. Conclusion Psychological intervention combined with propofol and remifentanil for artificial abortion is a safe and effective method, which not only can reduce intraoperative and postoperative mental and physical complications, but also shorten the observation period of patients in hospital Time, is conducive to the patient’s psychological, physical recovery soon.