丙泊酚联合芬太尼对不同中医体质人工流产患者的麻醉作用分析.pdfVIP

第19卷 第8期 中莲为导最 2013年 8月 V0l_19 No．8 GuidingJournalofTraditionalChineseMedicineandPharmacy August．2013 丙泊酚联合芬太尼对不同中医体质人工流产 患者的麻醉作用分析 于 瑾 (中国人民解放军第二七三医院。新疆 库尔勒 841000) 摘『要1 目的：探讨丙泊酚联合芬太尼对不同中医体质人工流产患者的麻醉效果。方法：参照中医体质类型的判断标准， 将68例人工流产患者分为阳虚组、阴虚组及对照组。记录术中出血量、丙泊酚总用量、手术时间、睫毛反射消失时间及定向力 恢复时间等，并判定麻醉药物的镇痛效果及体动发生情况。结果：阳虚组患者术中丙泊酚总用量及体动发生率高于阴虚组及 对照组，差异有统计学意义(P0．05)；3组患者术中出血量、手术时间、睫毛反射消失时间、定向力恢复时间及镇痛效果比较， 差异均无统计学意义(PO．05)。结论 ：人工流产术中丙泊酚需求量及体动情况与患者中医体质类型密切相关。 关『键H1 丙泊酚；芬太尼；人工流产；中医体质 中『图分类号1 R271 文『献标识码1A 文『章编号] 1672—951X(2013)08—0037—02 TheAnalysisofAnaesthetic AffectofAropofolCombined with Fentanylin Abortion Patientswith DifferentConstitution ofChineseM edicine yu Jin (The273HospitalofKorlaPLA，XinjinagKorla841000，China) [Abstract】 Objective：Toexploretheanestheticeffectofpropofolcombinedwithfentanylinabortionpatientswithdiffer- entconstitution of Chinesemedicine．Methods：68 casesofabortion patientswere divided intoYang—deficiency，Yin- deficiency group and thecontrolgroup according tothe standardsof the ChineseMedicine．The amountofbleedingduring operation，the totaldosage ofpropofol，the operation time，the extinction time of eyelash reflex and the recovery time ofdirectional force wererecorded and compared．Th e naalgesic effectofanestheticdrugsand the body movementwere observed．Results：The total dosage of propofoland the rate of body movementin the Yang—deficiency rgoup were significantly higher thna thatofthe Yin-deficiencygroupandthecontrolgroup 0．05)．Theamountofbleedingduringoperation，theoperationtime，theextinc- tion time ofeyelash reflex，the recovery timeofdirectionalforce and theanalgesic effect in the threegroupswerewithout singificantdifference(P0．05)．Conclusion：Thetotaldosageofpropofol