论文部分内容阅读
目的 :对比在人工流产手术中应用舒芬太尼复合丙泊酚与瑞芬太尼复合丙泊酚的麻醉效果。方法 :选择2015年01月~2015年12月于我院人工流产手术的患者140例,按照入院编号随机分为观察组和对照组,每组70例。观察组患者采用舒芬太尼复合丙泊酚进行麻醉;对照组采用瑞芬太尼复合丙泊酚进行麻醉,观察对比两组患者的术前、术中的生命体征,以及手术过程中、术后患者的疼痛等级(VAS评分)。结果:两组患者在年龄、体重、并无太大差异,麻醉诱导前后各项生理指标均有所降低,但与观察组相比,采用瑞芬太尼复合丙泊酚的对照组的血氧饱和度下降程度较为明显,差异具统计学意义(P<0.05);两组患者在麻醉后的镇痛效果相当,但对比两组患者的VRS评分,观察组患者的疼痛程度低于对照组,差异明显,具统计学意义(P<0.05)结论 :两种药物复合丙泊酚进行人工流产手术麻醉效果相当,但在镇痛效果和呼吸抑制程度上相比,舒芬太尼复合丙泊酚的效果更佳明显,因此将其应用到人工流产手术当中安全性高、副作用小,值得临床应用与推广。
Objective: To compare the anesthetic effect of sufentanil combined with propofol and remifentanil combined with propofol during induced abortion. Methods: One hundred and forty cases of induced abortion in our hospital from January 2015 to December 2015 were selected and randomly divided into observation group and control group according to admission number, each group had 70 cases. Patients in the observation group were given sufentanil combined with propofol for anesthesia. In the control group, remifentanil combined with propofol was used for anesthesia. The preoperative and intraoperative vital signs were compared between the two groups. During the operation, Post-patient pain level (VAS score). Results: There was no significant difference in age and body weight between the two groups before and after the induction of anesthesia. However, compared with the observation group, the control group of the remifentanil and propofol (P <0.05). The analgesic effect was similar in both groups after anesthesia. However, compared with the VRS score of the two groups, the degree of pain in the observation group was lower than that of the control group, and the difference was statistically significant (P <0.05) .Conclusion: The two drugs combined with propofol have the same effect of anesthesia in induced abortion, but compared with the analgesic effect and degree of respiration inhibition, sufentanil combined with propofol The effect is better and more obvious, so it is applied to artificial abortion surgery safety, side effects, it is worth clinical application and promotion.