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目的:通过比较异丙酚复合芬太尼、曲马多或舒芬太尼三种麻醉方法,探究人工流产手术合理的异丙酚麻醉配方。方法:180例早孕妇女随机分为F组、T组和S组,分别在异丙酚诱导前静注芬太尼0.75μg/kg、曲马多1mg/kg、舒芬太尼0.075μg/kg。记录各组病人镇痛效果及术中术毕不良反应的发生情况。结果:S组镇痛效果均优于T组和F组(p<0.05);T组、S组术中呼吸抑制的发生率低于F组(p<0.05)。结论:舒芬太尼复合异丙酚的麻醉及镇痛效果优于异丙酚复合曲马多或芬太尼。
Objective: To compare propofol with fentanyl, tramadol or sufentanil anesthesia three methods to explore the reasonable abortion anesthesia induced abortion recipe. Methods: 180 cases of early pregnancy women were randomly divided into F group, T group and S group, respectively, before induction of propofol intravenous fentanyl 0.75μg / kg, tramadol 1mg / kg, sufentanil 0.075μg / kg . Record the analgesic effect and the incidence of adverse reactions during operation in each group. Results: The analgesic effects in group S were better than those in group T and F (p <0.05). The incidences of intraoperative respiratory depression in group T and group S were lower than those in group F (p <0.05). Conclusion: The effects of sufentanil and propofol on anesthesia and analgesia are superior to those of propofol combined with tramadol or fentanyl.