【摘要】 目的:观察注射泵推注异丙酚在无痛人流中的应用。方法:将100例人工流产患者随机分为两组,注射泵组(A),手推组(B),各50例。A组:注射泵给药,诱导速度1.5mg/kg/min,量2～2.5mg/kg,维持速度0.1mg/kg/min,手术结束时停药;B组:手推注药,诱导量2.5mg/kg,在60s左右推完,手术期间根据情况追加5ml左右。分别观察两组诱导、苏醒时间、总药量、麻醉效果,及诱导前后血压、心率,血氧饱和度的变化。结果:A组诱导、苏醒时间、用药量均低于B组(P<0.01)两组诱导后血压、心率、血氧均低于术前(P<0.05)。结论:注射泵推注异丙酚麻醉效果优于手推法。更多还原

【Abstract】 Objective: To observe the anesthetic effects of propofol by injection pump medication during painless artificial abortion . Methods:100 patients scheduled for painless artificial abortion were divided into two groups randomly ,Group A received propofol by injection pump , and group B by general syringe ,50 cases per group .The propofol injection rate in group A was firstly controlled at 1.5 mg/kg/min ,the total medication dosage was 2～2.5mg/kg.maintained at 0.1mg/kg/min and stopped injection when operations ended, Group B patients by general syringe , induced dosage at 2.5mg/kg taking around 60s to complete ,The patients could be added 5ml dosage if they moved during the operation , investigate and compare the induce time ,resuscitation time ,total medication dosage ,anesthetic effects in two groups respectively ,and the difference of BP ,HR ,SPO 2 before and after the induce dosage medication . Result: The induced dosage , resuscitation time and total dosage in group A were all lower than group B (P<0.01), and BP,HR and SPO 2 after induction in two groups were all low then preoperation (P<0.05) . Conclusion: The anesthetic effects of propofol injection by injection pump in artificial abortion is better than by general syringe .更多还原