论文部分内容阅读
目的:观察比较丙泊酚联合芬太尼用于不同体质人工流产患者的麻醉效果。方法:选择240例人工流产患者,按照体质的不同分为研究1组(肾阳虚)、研究2组(肾阴虚)及对照组(非肾阳虚、非肾阴虚)各80例,观察比较三组患者术中出血量、麻醉药用量、手术时间、定向力恢复时间等手术指标以及镇痛效果、体动发生率。结果:研究1组患者麻醉药用量明显高于研究2组与对照组,差异具有统计学意义(P<0.05);三组患者镇痛效果、手术时间及定向力恢复时间比较差异无统计学意义(P<0.05);研究1组患者体动发生率为43.75%(35/80),研究2组体动发生率为17.50%(14/80),对照组体动发生率为28.75%(23/80),组间比较差异具有统计学意义(P<0.05)。结论:不同体质患者的麻醉药耐受性差异较大,人工流产患者应根据体质类型确定丙泊酚联合芬太尼的用量,以提升麻醉安全性。
Objective: To observe and compare the anesthetic effects of propofol combined with fentanyl in patients with different forms of induced abortion. Methods: A total of 240 patients with induced abortion were selected and divided into two groups according to their physical constitution: group 1 (kidney yang deficiency), group 2 (kidney yin deficiency) and control group (nongyang yang deficiency and non-kidney yin deficiency) Three groups of patients were observed and compared intraoperative bleeding, anesthetic dosage, operation time, recovery time and other surgical indicators and analgesic effect, body movement. Results: The dosage of anesthetic in study group 1 was significantly higher than that in study 2 and control group (P <0.05). There was no significant difference in analgesic effect, operation time and recovery time between the three groups (P <0.05). The body movement rate was 43.75% (35/80) in study group 1, 17.50% (14/80) in study group 2, and 28.75% in control group 23/80), the difference between the groups was statistically significant (P <0.05). Conclusion: The tolerance of anesthetics in patients with different constitutions is quite different. The abortion patients should determine the dosage of propofol combined with fentanyl according to the type of constitution so as to enhance the safety of anesthesia.