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目的 :观察依托咪脂复合芬太尼在人工流产中的疗效。方法 :对 5 0例早孕妇女 ,在常规消毒的同时 ,静脉注射芬太尼 2μg· kg,依托咪脂 0 .2 m g· kg。观察麻醉效果、宫口松弛、人工流产综合征 (PAAS)发生率及出血量。并分别记录推药前、入睡后、手术时、清醒后 BP、P、SPO2 等参数。以及苏醒情况。结果 :依托咪脂复合芬太尼应用于人工流产术 ,起效快 ,镇痛效果明显 ,有效率达 98%。与对照组比较差异有显著性 (P<0 .0 1)。宫口松弛与对照组比较 ,有统计学差异 (P>0 .0 5 )。苏醒早 ,血压心率无明显变化 ,无一例发生 PAAS,与对照组比较 (P<0 .0 1)有显著性差异。出血量与对照组比较无显著性差异。结论 :依托咪脂复合芬太尼静脉麻醉是人工流产术中的适宜麻醉方法之一 ,可达到无痛人工流产的良好效果。
Objective: To observe the efficacy of remifentanil combined with fentanyl in induced abortion. Methods: Fifty pregnant women with early pregnancy were given routine intravenous fentanyl 2μg · kg and etomid 0. 2 m g · kg intravenously. Observe the effects of anesthesia, cervix relaxation, the incidence of artificial abortion syndrome (PAAS) and the amount of bleeding. The parameters such as BP, P and SPO2 were recorded before going to bed, after going to sleep, during operation and after awake. And wake up situation. Results: Relying on Miyazaki compound fentanyl used in artificial abortion, fast onset, obvious analgesic effect, the effective rate of 98%. Compared with the control group, the difference was significant (P <0.01). Cervical relaxation compared with the control group, there was a statistically significant difference (P> 0.05). Early recovery, no significant changes in blood pressure and heart rate, no case of PAAS, compared with the control group (P <0. 01) were significantly different. Bleeding volume compared with the control group no significant difference. Conclusion: It is one of the most suitable anesthesia methods in artificial abortion to rely on intravenous infusion of mometasone and fentanyl, which can achieve the effect of painless induced abortion.