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1、實用臨床醫(yī)學(xué)2014年第15卷第1期PracticalClinicalMedicine,2014,Vol15,No1·57·丙泊酚復(fù)合瑞芬太尼用于無痛人流術(shù)的麻醉效果熊燕秀,郭桂紅,廖橋林(遂川縣中醫(yī)院麻醉科,江西遂川343900)摘要:目的觀察丙泊酚復(fù)合瑞芬太尼與丙泊酚復(fù)合芬太尼用于無痛人流術(shù)的麻醉效果,探討合理安全的麻醉方法。方法選擇擇期接受無痛人流術(shù)的門診患者80例,ASAI或Ⅱ級,將其按隨機數(shù)字表法分為丙泊酚復(fù)合瑞芬太尼組(觀察組)、丙泊酚復(fù)合芬太尼組(對照組),每組40例。記錄注藥前(
2、T0)、注藥結(jié)束時(T1)、手術(shù)開始時(T2)、手術(shù)開始后1min(T3)、蘇醒時(T4)、離室前(T5)各時點的SBP、DBP、MAP、HR、SpO2,及復(fù)合麻藥總量、麻醉蘇醒時間、離室時間及麻醉后惡心嘔吐、嗜睡發(fā)生率等。結(jié)果2組各時點的SBP、DBP、MAP、HR、SpO:差異無統(tǒng)計學(xué)意義(均尸>O.05)。觀察組較對照組復(fù)合麻藥總量少、麻醉蘇醒時間短、離室時間短,惡心嘔吐、嗜睡發(fā)生率低(均P<0.05)。結(jié)論丙泊酚復(fù)合瑞芬太尼用于無痛人流手術(shù),患者麻醉蘇醒時間短,離室時間短,麻醉蘇醒后嘔吐
3、、惡心反應(yīng)明顯減少。關(guān)鍵詞:丙?白酚;瑞芬太尼;芬太尼;無痛人流中圖分類號:R169.4;R614文獻標(biāo)志碼:A文章編號: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