异丙酚复合芬太尼在人工流产手术中的应用效果研究.docVIP

异丙酚复合芬太尼在人工流产手术中的应用效果研究 　　doi：10.3969/j.issn.1007-614x.2014.14.27 　　摘 要 目的：研究异丙酚复合芬太尼在人工流产手术中的应用效果。方法：2011年7月-2013年8月收治拟进行人工流产手术患者150例，随机分为观察组及对照组，对照组术中给予异丙酚镇痛，而观察组术中给予异丙酚及芬太尼镇痛，观察镇痛效果。结果：观察组优37例，良35例，差3例，总有效率96.0%；对照组优23例，良41例，差11例，总有效率85.3%。观察组总有效率高于对照组，差异具有统计学意义（P0.05）。结论：异丙酚复合芬太尼在人工流产手术中镇痛效果满意，建议在临床中推广应用。 　　关键词 人工流产 异丙酚 芬太尼 镇痛 　　Study on the application effect of propofol compound fentanyl in artificial abortion 　　Wu Guangping 　　The gynecology of maternal and child care service centre in Fangcheng County，Nanyang City，Henan Province，473200 　　Abstract Objective：To study the application effect of propofol compound fentanyl in artificial abortion.Methods：150 cases of patients with artificial abortion operation were admitted from July 2011 to August 2013.They were randomly divided into the observation group and the control group.The control group were given propofol analgesia during operation，and the observation group were given propofol compound fentanyl analgesia during operation.And then observe the analgesia effect.Results：37 cases were excellent，35 cases were good，3 cases were poor，and the total effective rate was 96% in the observation group.23 cases were excellent，41 cases were good，11 cases were poor，and the total effective rate was 85.3% in the control group.The total effective rate of the observation group was higher than that of the control group，and the difference has statistically significant（P0.05）.Conclusion：Propofol compound fentanyl in artificial abortion has satisfactory analgesia，so it was suggested to popularize applicate in clinical. 　　Key words Artificial abortion；Propofol；Fentanyl；Analgesia 　　人工流产手术为一种常用终止早期妊娠手术，它既可用于因疾病或其他原因而需终止妊娠者，也可作为因避孕失败意外妊娠的一种有效补救措施。在进行人工流产手术时，患者子宫内妊娠物将被吸出，使子宫收缩和宫腔内空虚，进而导致子宫供血不足，组织缺血，最终导致患者宫缩痛，若不及时控制将严重影响患者生活质量，故如何有效镇痛成为人工流产手术中一大难题[1]。异丙酚为常用人工流产手术镇痛药物，临床实践表明其镇痛效果不佳。本文对我院收治的人工流产手术患者给予异丙酚复合芬太尼镇痛，取得满意效果，现报告如下。 　　资料与方法 　　2011年7月-2013年8月收治拟进行人工流产手术患者150例，所有患者均自愿要求进行无痛人工流产手术，且经心电图、血常规等检查确定无异常，排除合并其他心、肺、肝及肾等严重疾病患者