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目的比较门诊人工流产术中应用宫颈旁阻滞麻醉联合羟考酮注射剂与丙泊酚麻醉在手术时间、恢复时间以及术中术后生命体征波动的差异。方法将89例来我院行门诊人流手术的患者随机分为接受宫颈旁局部麻醉+羟考酮注射剂(M)组和丙泊酚麻醉(P)组,观察患者从到达门诊人流室至离开人流室的时间、从到达恢复室至能出院回家的时间,以及患者的基础无创动脉收缩压,在术中术后的最低无创动脉收缩压、血氧饱和度(Sp O2)和最慢心率。结果 M组和P组从到达至离开人流室的时间分别为(11.60±1.80)min和(11.70±2.14)min,P>0.05;从到达人流室至准备出院回家时间分别为(31.58±5.41)min和(59.57±8.33)min,P<0.01。与M组相比,P组更容易出现呼吸道梗阻导致Sp O2下降,最低无创动脉收缩压降低(P<0.05),但最慢心率2组之间差异无统计学意义(P>0.05)。结论宫颈旁局部麻醉联合羟考酮注射剂可以应用于门诊人工流产术,且相较丙泊酚麻醉,门诊人流室周转速度更快,对患者生命体征的影响更小。
Objective To compare the differences between the application of oxycodone injection and propofol anesthesia in the outpatient induced abortion (OPT) surgery at operation time, recovery time and intraoperative and postoperative vital sign fluctuation. Methods Eighty-nine patients who underwent outpatient abortion in our hospital were randomly divided into local anesthesia plus oxycodone injection (M) group and propofol anesthesia (P) group. Patients were observed from arrival flow to outpatient flow room to leave the flow Room time from arrival in the recovery room until discharge to home, and baseline non-invasive systolic pressure in patients, minimal noninvasive arterial systolic pressure postoperatively, oxygen saturation (Sp O2), and slowest heart rate. Results The time from arrival to leaving the abortion was (11.60 ± 1.80) min and (11.70 ± 2.14) min respectively in M group and P group, P> 0.05. The time from reaching the abortion room to getting ready for discharge was (31.58 ± 5.41) ) min and (59.57 ± 8.33) min respectively, P <0.01. Compared with M group, P group was more prone to airway obstruction leading to the decrease of Sp O2 and the lowest noninvasive arterial systolic pressure (P <0.05), but there was no significant difference between the two groups (P> 0.05). Conclusion Local anesthesia combined with oxycodone injection can be used in outpatient induced abortion. Compared with propofol, anesthesia with propofol can speed up the turnover of outpatient flow chamber and have less impact on vital signs of patients.