论文部分内容阅读
目的 :减少人流术中终止妊娠病人的痛苦和并发症。方法 :12 0例病人随机双盲用 0 0 5mg芬太尼或 5 0mg曲马多 +生理盐水 4ml,2分钟左右静脉缓推完 ,推药后 3～ 5分钟进行吸宫术。结果 :在人流术中芬太尼的镇痛效果优于曲马多 (P <0 0 1) ;在对宫颈松弛度、并发症和出血的影响方面两种药物无差别 (P >0 0 5 ) ;但用曲马多镇痛的病人术后自动离院的时间早于用芬太尼者 (P <0 0 1)。结论 :芬太尼的镇痛效果好 ,价格便宜 ,值得推广
Objective: To reduce the pain and complications of termination of pregnancy in abortion. METHODS: One hundred and twenty patients were randomized to double-blind treatment with 0.05 mg fentanyl or 50 mg tramadol plus normal saline (4 ml) for 2 minutes. The patients underwent ejaculation 3 to 5 minutes after the drug was given. Results: The analgesic efficacy of fentanyl was better than that of tramadol in abortion (P <0.01). There was no difference in the effects of fentanyl between the two drugs on cervical relaxation, complications and hemorrhage (P> 0.05) ); However, the patients who were given tramadol were automatically discharged earlier than fentanyl (P <0.01). Conclusion: Fentanyl analgesic effect is good, cheap, it is worth promoting