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目的探讨芬太尼、利多卡因和布托啡诺复合丙泊酚用于人工流产术的效果。方法 100例拟行人工流产术的孕妇,分为四组。A组:单独给予丙泊酚(对照组);B组:丙泊酚复合芬太尼组;C组:丙泊酚复合利多卡因组;D组:丙泊酚复合布托啡诺组。结果 A组较B、C、D三组患者术中各时间段SBP下降明显(P<0.01);扩宫、负压吸引时A组患者HR有明显增快(P<0.05);四组患者在术中均出现不同程度的SpO2下降,但A组患者较其余三组下降明显(P<0.01)。结论丙泊酚联合镇痛药均能为人工流产术提供一个比较满意的镇痛效果和操作条件,但以丙泊酚联合布托啡诺组的效果为好。
Objective To investigate the effect of fentanyl, lidocaine and butorphanol combined with propofol on induced abortion. Methods 100 cases of abortion to be abortion pregnant women, divided into four groups. Group A: propofol alone (control group); Group B: propofol combined with fentanyl group; Group C: propofol plus lidocaine group; Group D: propofol combined with butorphanol group. Results Compared with B, C, and D groups, SBP in group A decreased significantly at each time point (P <0.01); group D increased significantly HR in group A at negative pressure (P <0.05) There were different degrees of SpO2 decline in operation, but the patients in group A decreased more significantly than the other three groups (P <0.01). Conclusion Both propofol and analgesic can provide a satisfactory analgesic effect and operating conditions for abortion, but the effect of propofol combined with butorphanol is better.