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地佐辛复合芬太尼及丙泊酚应用于无痛人流术的临床研究

Effect of dezocine combined with fentanyl and propofol on induced abortion

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【作者】 张咏梅赵卫兵吴嘉宾

【Author】 ZHANG Yong-mei,ZHAO Wei-bing,WU Jia-bin(Department of Anesthesia,Chongqing Emergency Central)

【机构】 重庆市急救医疗中心麻醉科

【摘要】 目的:探讨地佐辛复合芬太尼及丙泊酚用于无病人流术的临床效果。方法:2007年2月-2010年10月收治的自愿施行无痛人流手术的孕妇86例,随机分为2组:对照组应用芬太尼+丙泊酚麻醉,观察组应用地佐辛+芬太尼+丙泊酚麻醉,观察HR、MAP、SpO2、术毕意识恢复情况、术后宫缩痛、不良反应等状况。结果:2组意识消失时间、意识恢复时间、术中出血量比较差异无统计学意义(P>0.05),观察组宫颈口松弛度较对照组满意(P<0.05);诱导前后MAP、HR、SpO2的变化,2组比较差异无统计学意义(P>0.05);2组间不良反应发生率比较差异有统计学意义(9.3%与30.2%,χ2=5.939,P=0.028)。结论:地佐辛复合芬太尼及丙泊酚用于无痛人流是一种较理想的无痛人流方法。

【Abstract】 Objective:To investigate the effect of dezocine combined with fentanyl and propofol on induced abortion.Methods:From Feb 2007 to Oct 2010,86 early pregnancy women,undergoing induced abortion,were randomly divided into two groups:observed group undergoing the intravenous anesthesia by dezocine combined with fentanyl and qaAQ+96’+propofol,and control group receiving fentanyl and propofol.The mean artery pressure(MAP),heart rate(HR),pulse oxygen saturation(SpO2),revival time,pain of uterus contraction after operation,and side effect were recorded.Results: There were no significant difference in consciousness extinction time and recovery time,blood loss of operation,MAP,HR and SpO2 in both groups.However,the cervix chalasis degree in the observed group was better than that in the control group.The incidence of side effect in the control group was higher than that in the observed group(P<0.05).Conclusion: Dezocine combined with fentanyl and propofol is an ideal method for aesthesia in induced abortion.

【关键词】 地佐辛丙泊酚芬太尼人工流产
【Key words】 dezocinepropofolfentanylinduced abortion
  • 【文献出处】 重庆医科大学学报 ,Journal of Chongqing Medical University , 编辑部邮箱 ,2011年07期
  • 【分类号】R614.24
  • 【被引频次】77
  • 【下载频次】363
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