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目的探讨异丙酚联合应用不同药物在无痛人工流产术中的麻醉效果与安全性。方法ASAI～Ⅱ级人工流产患100例,等分为2组,A组异丙酚配伍芬太尼和麻黄碱,B组异丙酚配伍芬太尼。分析判断对循环、呼吸功能的影响,记录两组患者的MAP、HR、SpO2的变化及苏醒时间、恢复正常行走时间。结果B组麻醉后MAP、SpO2值显著小于麻醉前;两组清醒时间、恢复正常行走时间无明显差异。结论异丙酚联合芬太尼和麻黄碱用于人工流产手术的麻醉安全、可靠,术中镇痛效果好。
Objective To investigate the anesthetic effect and safety of propofol combined with different drugs in painless artificial abortion. Methods A total of 100 patients with ASAI grade Ⅱ abortion were divided into two groups. Group A consisted of propofol with fentanyl and ephedrine, group B with propofol and fentanyl. Analyze and judge the impact on circulation and respiratory function, record the change of MAP, HR, SpO2 and wake time of two groups of patients and restore the normal walking time. Results The values of MAP and SpO2 in group B after anesthesia were significantly lower than those before anesthesia. There was no significant difference between the two groups in awake time and normal walking time. Conclusion Propofol combined with fentanyl and ephedrine for anesthesia in induced abortion is safe, reliable and effective in analgesia during operation.