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目的:观察丙泊酚持续小剂量给药用于人工流产术的麻醉效果。方法:选择2013年5月~2014年5月之间在我院接受人工流产术的早期妊娠(妊娠囊小于10周)孕妇100例,将其随机分为两组,每组各50例。对照组首先静推0.1mg芬太尼,之后立即静推总量的丙泊酚,手术需要等待患者呼之不应、睫毛反射消失后开始;观察组首先静推0.1mg芬太尼,之后立即静推丙泊酚(总量-60mg),等待患者呼之不应、睫毛反射消失后静滴余量,并进行手术。观察、对比术中两组的丙泊酚用量、呼吸抑制发生率、体动发生率与苏醒时间。结果:对照组手术过程中的丙泊酚用量、呼吸抑制发生率、体动发生率均大于观察组,差异显著,P<0.05,具有统计学意义;对照组的麻醉苏醒时间与观察组差异不大,P>0.05,不具有统计学意义。结论:在人工流产术中采用丙泊酚持续小剂量给药进行麻醉,不仅效果镇痛效果理想,而且能够降低丙泊酚用量,减少术中发生呼吸抑制与体动的情况,值得推广。
Objective: To observe the anesthetic effects of continuous low-dose propofol administration in induced abortion. Methods: 100 pregnant women (gestational sac less than 10 weeks) who underwent abortion in our hospital from May 2013 to May 2014 were selected and randomly divided into two groups, 50 cases in each group. Control group first push 0.1mg fentanyl, and then immediately push the total amount of propofol, surgery need to wait for the patient should call should not, lashes reflex disappear after; observation group first push 0.1mg fentanyl, and immediately after Propofol was bolted (total amount-60 mg), waiting for the patient not to call, remaining after the disappearance of eyelash reflex, and performing surgery. Observation and comparison of intraoperative and postoperative propofol dosage, respiratory depression, body movement and recovery time. Results: The propofol dosage, respiratory depression rate and body movement rate in the control group were significantly higher than those in the observation group (P <0.05, P <0.05), and there was no difference between the control group and the observation group Large, P> 0.05, not statistically significant. CONCLUSIONS: Propofol is a continuous, low-dose, and analgesic effect of artificial abortion. It not only has an ideal analgesic effect, but also can reduce the dosage of propofol and reduce respiratory depression and body movement. It is worth promoting.