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目的:探讨瑞芬太尼复合丙泊酚在门诊无痛人流手术中的应用效果。方法:200例人工流产早孕妇女(ASAⅠ~Ⅱ级)。分为丙泊酚组(Ⅰ组)和瑞芬太尼+丙泊酚组(Ⅱ组),每组100例。比较两组丙泊酚总用量、诱导时间、手术时间、意识恢复时间(自给药完毕至完全清醒、呼之睁眼、回答切确)、不良反应发生情况(恶心呕吐、体动反应、呼吸抑制)。结果:Ⅱ组丙泊酚总用量、诱导时间和意识恢复时间均少于Ⅰ组(P<0.05),Ⅱ组早孕妇女术中体动反应发生率低于Ⅰ组。结论:瑞芬太尼复合丙泊酚用于无痛人流效果优于单用丙泊酚。
Objective: To investigate the effect of remifentanil combined with propofol in outpatient painless surgery. Methods: 200 cases of induced abortion pregnant women (ASA Ⅰ ~ Ⅱ grade). Divided into propofol group (group Ⅰ) and remifentanil + propofol group (group Ⅱ), 100 cases in each group. The total amount of propofol, induction time, operation time, consciousness recovery time (from the completion of administration to complete awake, call for eyes open, the exact answer), adverse reactions (nausea and vomiting, physical reaction, respiratory depression ). Results: The total propofol dosage, induction time and consciousness recovery time in group Ⅱ were less than those in group Ⅰ (P <0.05). The incidence of postoperative physical activity in group Ⅱ was lower than that in group Ⅰ. Conclusion: Remifentanil combined with propofol is superior to propofol alone in painless abortion.