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目的探讨静脉推注凯纷与丙泊酚实施人工流产麻醉的可行性。方法对40例早孕妇女,随机分为凯纷组(A组)和芬太尼组(B组)。A组:静脉注射凯纷50 mg+丙泊酚2 mg/kg;B组:静脉注射芬太尼0.05 mg+丙泊酚2 mg/kg。观察麻醉效果、对循环呼吸的影响和术后宫缩痛的程度。结果两组麻醉效果均确切,对术中循环呼吸的影响比较差异无统计学意义(P>0.05),A组能有效减少术后宫缩痛,与B组比较差异有统计学意义(P<0.01)。结论静脉注射凯纷和丙泊酚用于无痛人流术,镇痛效果确切,对循环呼吸影响小,且能明显减轻术后宫缩痛,是安全合理的麻醉方法。
Objective To investigate the feasibility of intravenous injection of Kay and propofol for induced abortion. Methods Forty pregnant women with early pregnancy were randomly divided into Tribulus (Group A) and fentanyl (Group B). Group A: Triptolide 50 mg + propofol 2 mg / kg; Group B: Intravenous fentanyl 0.05 mg + Propofol 2 mg / kg. Observe the effects of anesthesia, effects on circulatory respiration, and the degree of postoperative contractions. Results The anesthesia effects of the two groups were both exact and had no significant difference on intraoperative respiration (P> 0.05). Group A was effective in reducing uterine contractions after operation, and the difference was statistically significant (P < 0.01). Conclusion Intravenous injection of propofol and propofol for painless abortion, analgesic effect is exact, little effect on circulatory respiration, and can significantly reduce postoperative uterine pain, is a safe and reasonable method of anesthesia.