丙泊酚复合瑞芬太尼用于无痛人流术的麻醉效果-论文.pdf

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1、实用临床医学2014年第15卷第1期PracticalClinicalMedicine，2014，Vol15，No1·57·丙泊酚复合瑞芬太尼用于无痛人流术的麻醉效果熊燕秀，郭桂红，廖桥林(遂川县中医院麻醉科，江西遂川343900)摘要：目的观察丙泊酚复合瑞芬太尼与丙泊酚复合芬太尼用于无痛人流术的麻醉效果，探讨合理安全的麻醉方法。方法选择择期接受无痛人流术的门诊患者80例，ASAI或Ⅱ级，将其按随机数字表法分为丙泊酚复合瑞芬太尼组(观察组)、丙泊酚复合芬太尼组(对照组)，每组40例。记录注药前(

2、T0)、注药结束时(T1)、手术开始时(T2)、手术开始后1min(T3)、苏醒时(T4)、离室前(T5)各时点的SBP、DBP、MAP、HR、SpO2，及复合麻药总量、麻醉苏醒时间、离室时间及麻醉后恶心呕吐、嗜睡发生率等。结果2组各时点的SBP、DBP、MAP、HR、SpO：差异无统计学意义(均尸>O．05)。观察组较对照组复合麻药总量少、麻醉苏醒时间短、离室时间短，恶心呕吐、嗜睡发生率低(均P<0．05)。结论丙泊酚复合瑞芬太尼用于无痛人流手术，患者麻醉苏醒时间短，离室时间短，麻醉苏醒后呕吐

3、、恶心反应明显减少。关键词：丙?白酚；瑞芬太尼；芬太尼；无痛人流中图分类号：R169．4；R614文献标志码：A文章编号：1009—8194(2014)01—0057—02AnesthesiawithPropofolandRemifentanilforPainlessInducedAbortionXIONGYan-xiu，GUOGui-hong，LIAOQiao-lin(DepartmentofAnesthesiology,SuichuanTraditionalChineseMedicineHo

4、spital，Suichuan343900,China)ABSTRACT：ObjectiveToobservetheeficacyofanesthesiawithpropofolcombinedwithremifentanilorfentanylforpainlessinducedabortion，andtoinvestigatethereasonableandsafemethodofanesthesia．MethodsEightyASAIorⅡclinicpatientsscheduledfo

5、relectivepainlessabortionsurgerywererandomlyassignedtoreceiveanesthesiawithpropofolcombinedwitheitherremifentanil(observationgroup，n=40)orfentanyl(controlgroup，n=40)．Systolicbloodpressure(SBP)，diastolicbloodpressure(DBP)，meanarterialpressure(MAP)，hea

6、rtrate(HR)andoxygensaturation(Sp02)wererecordedbeforeanestheticinduction(To)，attheendofanesthesiaadministration(T1)，atthebeginningofoperation(T2)，1minuteafterthebeginningofoperation(T3)，atrecovery(T4)andbeforeleavingtheoperatingroom(T5)．Inaddition，th

7、etotalamountofanesthetics，timetorecoveryfromanesthesia，timetoleavingtheoperatingroom，andincidencesofnausea，vomitinganddrowsinesswererecordedinallpatients．ResultsTherewerenOsignificantdifferencesinSBP，DBP，MAP，HRandSpO2amongdiferenttimepointsbetweenthe

8、twogroups(allP>0．05)．Comparedwithcontrolgroup，thetotalamountofanesthetics，timetorecoveryfromanesthesia，timetoleavingtheoperatingroom，andincidencesofnausea。vomitinganddrowsinesssignificantlydecreasedinobservationgroup(allP<0．05)．ConclusionTheanesthesi