丙泊酚靶控输注人工输注用于人流术的比较.pdfVIP

摘要 目的比较丙泊酚靶控输注(TCI)和人工控制输注(MCI)在人工流产术中麻醉效果、 对呼吸循环功能及不良反应发生的影响。方法100例孕妇分为两组：M组采用丙泊酚McI 设定初始靶浓度5ug／ml，术中如有体动反应，追加靶浓度lug／ml。分别记录镇痛效果 宫颈松驰程度，诱导时间，意识恢复时I刈，离院时恻，丙泊酚总用量，注药前[min(t，)、 HR、SpO。值，术中体动、舌后坠、术后头晕发生例数等。结果两组患者诱导时间、苏醒 丙泊酚靶控输注(TCI) 动、舌后坠及术后头晕例数M组明显多于T组(PO．05)。结论 用于人工流产术，麻醉效果佳，不良反应少，优于丙泊酚人工控制输注(MCI)。 关键词：人工流产术，丙泊酚，靶控输注，人工控制输注 阳医科^学MlL学位论空 Abstract anesthesia andadversereactions objeetive：To compare qualities、hemodynamic、respiration of withthatof controlled infusion(TCI)of target-controlled propofol manually oninducedabortion．Methods：100 women infusion(MCI)of propofol pregnant undergoing inducedabortionwere dividedintotwo Mwas controlled randomly groups：groupmanually infusionof wasadministrated intravenousafter propof01．It propofol 2mg／Kgby injection disinfection．and boluses tothe T administeringO．5—1．0mg／Kg accordingpatient、Sneeds；group was infusionof wassetfor target—controlledpropofol，the concentrationinduction targetplasma on titrated tothe needs the 5ug／ml，then accordingpatient、S throughout dilatation toloss time degree，time time，discharge qualities，cervical consciousness，recovery the of wererecordedaswellas