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目的探讨人工流产术麻醉中盐酸奥布卡因的应用效果。方法选取佛山市顺德区第二人民医院2015年1月-2016年12月开展人工流产术的286例患者,随机分为对照组与观察组各143例,对照组患者采用利多卡因麻醉方式,观察组患者应用盐酸奥布卡因麻醉,比较两组患者的麻醉效果及不良反应情况。结果观察组患者的术后苏醒时间、术后疼痛评分与术中呼吸抑制发生率均显著好于对照组;并且观察组患者在麻醉3 min的心率、舒张压与收缩压均明显好于对照组,差异均有统计学意义(P<0.05)。结论人工流产术麻醉中采用盐酸奥布卡因可提高麻醉效果,在麻醉过程中维持良好的生命体征,具有确切的临床应用价值。
Objective To investigate the effect of using buprenorphine hydrochloride in anesthesia induced by artificial abortion. Methods A total of 286 patients who underwent abortion in Second People’s Hospital of Shunde District of Foshan City from January 2015 to December 2016 were randomly divided into control group and observation group with 143 cases each. Patients in the control group were treated with lidocaine anesthesia, Patients in the observation group were anesthetized with buprenorphine hydrochloride, and the anesthetic effects and adverse reactions of the two groups were compared. Results The recovery time, postoperative pain score and intraoperative respiratory depression were significantly higher in the observation group than those in the control group. The heart rate, diastolic blood pressure and systolic blood pressure in the observation group were significantly better than those in the control group , The differences were statistically significant (P <0.05). Conclusion Anesthetic anesthesia using buprenorphine hydrochloride can improve the anesthetic effect and maintain good vital signs during anesthesia, which has definite clinical value.