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目的观察丙泊酚复合芬太尼静脉麻醉用于无痛人工流产手术的镇痛效果。方法选择我院自愿做无痛人工流产术的妇女124例,停经38～60 d,平均48 d,随机分为丙泊酚组和丙泊酚-芬太尼组,每组62例,两组患者在年龄、体重、妊娠时间方面相比无明显差异(P>0.05)。观察并记录两组患者在麻醉期间的平均动脉压(MAP)、心率(HR)和血氧饱和度(SpO2)的变化以及丙泊酚用量、麻醉效果等情况。结果丙泊酚-芬太尼组麻醉效果明显优于丙泊酚组,宫颈松驰度较好,丙泊酚联合芬太尼组使用丙泊酚少,术后清醒快。结论丙泊酚复合芬太尼静脉麻醉更符合无痛人工流产手术的要求。
Objective To observe the analgesic effect of propofol combined with fentanyl intravenous anesthesia for painless induced abortion. Methods 124 women with painless induced abortion in our hospital were randomly divided into propofol group and propofol-fentanyl group (n = 62 in each group), with a mean of 48 days after menopause (38-60 days) Patients in terms of age, weight, gestational age, no significant difference (P> 0.05). The change of mean arterial pressure (MAP), heart rate (HR) and oxygen saturation (SpO2) and the dosage of propofol and anesthetic effect during anesthesia were observed and recorded. Results Propofol - fentanyl anesthesia group was significantly better than the propofol group, cervical relaxation better propofol fentanyl group with less propofol, awake faster after surgery. Conclusion Propofol with fentanyl intravenous anesthesia is more in line with the requirements of painless abortion.