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目的探讨喷他佐辛复合丙泊酚静脉麻醉用于宫腔镜手术的可行性和安全性。方法选择拟行宫腔镜手术患者120例,随机分成为芬太尼组(A组)和喷他佐辛组(B组),每组60例,观察记录麻醉起效与苏醒时间、丙泊酚用量、下腹痛评分及不良反应发生情况。结果两组的麻醉起效、苏醒时间、丙泊酚用量以及术中麻醉效果相比较无显著性差异(P>0.05)。术后下腹痛评分,A组明显高于B组,A组在手术术时呼吸抑制以及手术后出现恶心呕吐的机率都明显高于B组(P<0.05)。结论喷他佐辛复合丙泊酚用于宫腔镜检查,可以减少不良反应的发生率,可以在更长时间内缓解术后下腹痛。
Objective To investigate the feasibility and safety of pentazocine in combination with propofol intravenous anesthesia for hysteroscopic surgery. Methods 120 patients scheduled for hysteroscopic surgery were randomly divided into fentanyl group (group A) and pentazocine group (group B), 60 cases in each group. The anesthesia onset and recovery time, propofol Dosage, lower abdominal pain score and adverse reactions. Results There was no significant difference in onset of anesthesia, recovery time, dosage of propofol and intraoperative anesthetic effect between the two groups (P> 0.05). Postoperative abdominal pain score, A group was significantly higher than the B group, A group of respiratory arrest during surgery and postoperative nausea and vomiting were significantly higher than the probability of group B (P <0.05). Conclusions Pentazocine plus propofol can be used for hysteroscopy to reduce the incidence of adverse reactions and relieve postoperative lower abdominal pain for a longer period of time.