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目的探讨瑞芬太尼+异丙酚在无痛人流手术中的效果。方法将200例孕妇随机分为两组,I组单用1%异丙酚血浆靶控,Ⅱ组在输入异丙酚1min前静脉注射瑞芬太尼,观察两组孕妇镇痛效果、药物不良反应和诱导时间、唤醒时间及异丙酚总用量。结果两组孕妇药物不良反应比较P<0.01,诱导时间I组明显缩短(P<0.01),唤醒时间、异丙酚总用量I组明显增加(P<0.01)。Ⅱ组比I组效果好。结论异丙酚复合瑞芬太尼用于无痛人工流产麻醉效果佳,不良反应轻,唤醒时间短,为无痛人工流产麻醉的理想选择。
Objective To investigate the effect of remifentanil and propofol in painless abortion. Methods 200 pregnant women were randomly divided into two groups. Group I was targeted with 1% propofol plasma only. Group II was given remifentanil intravenously before propofol infusion for 1 min. The analgesic effects, Response and induction time, wake-up time and the total amount of propofol. Results The adverse drug reactions in both groups were significantly lower than those in the control group (P <0.01). The induction time was significantly shorter in group I (P <0.01). The wake time and the total propofol consumption in group I were significantly increased (P <0.01). Ⅱ group than I group effect. Conclusion Propofol combined with remifentanil has good analgesic abortion anesthesia, light adverse reactions, short wake-up time, and is an ideal choice for painless abortion anesthesia.