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目的探讨枸橼酸舒芬太尼联合丙泊酚在无痛人工流产中的应用效果。方法选取2014年1月—2015年1月于阿坝州人民医院接受无痛人工流产的女性220例,随机分为研究组与对照组,各110例。对照组予以丙泊酚麻醉,研究组予以枸橼酸舒芬太尼联合丙泊酚麻醉。观察两组苏醒后5、30min宫缩痛〔视觉模拟评分(VAS)评分〕、意识和定向力恢复时间、丙泊酚用量及镇痛效果。结果研究组苏醒后30min VAS评分低于对照组,意识恢复时间、定向力恢复时间短于对照组,丙泊酚用量少于对照组,差异有统计学意义(P<0.05);研究组总有效率高于对照组,差异有统计学意义(P<0.05)。结论枸橼酸舒芬太尼联合丙泊酚在无痛人工流产中的应用效果显著,可有效镇痛,促进女性意识和定向力恢复。
Objective To investigate the effect of sufentanil citrate combined with propofol in painless induced abortion. Methods Totally 220 women with painless induced abortion at People’s Hospital of Aba Prefecture from January 2014 to January 2015 were randomly divided into study group and control group with 110 cases each. The control group was given propofol anesthesia, and the study group was given sufentanil citrate combined with propofol anesthesia. Visual acuity scores (VAS), consciousness and orientation recovery time, propofol dosage and analgesic effect were observed at 5 and 30 minutes after wakefulness of both groups. Results The VAS score of the study group 30 minutes after awake was lower than that of the control group. The recovery time of consciousness and the recovery time of the directional force were shorter than those of the control group, and the dosage of propofol was less than that of the control group (P <0.05) Efficacy than the control group, the difference was statistically significant (P <0.05). Conclusion The combination of sufentanil citrate and propofol is effective in painless induced abortion, which can effectively relieve pain and promote the recovery of female consciousness and orientation.