地佐辛用于无痛人工流产术的麻醉效果观察.docVIP

地佐辛用于无痛人工流产术的麻醉效果观察 　　doi：10.3969/j.issn.1007-614x.2014.16.43 　　摘 要 目的：探讨地佐辛用于无痛人工流产术的麻醉临床效果。方法：2013年8月-2014年3月收治无痛人流患者200例，随机分成对照组和观察组各100例。对照组患者给予芬太尼1μg/kg静推，继而以2mg/kg的异丙酚静脉麻醉。观察组于术前5分钟给予地佐辛5mg，2mg/kg的异丙酚静脉麻醉。比较两组的麻醉效果。结果：观察组麻醉效果1级84例，2级12例，3级4例，总有效率96.0%，对照组麻醉效果1级70例，2级16例，3级14例，总有效率86.0%，两组比较差异有统计学意义（P0.05）。结论：地佐辛联合丙泊酚用于无痛人流麻醉的效果佳，不良反应小。 　　关键词 无痛人流 地佐辛 丙泊酚 　　Observation of the anesthesia effect of dezocine for painless artificial abortion 　　Zhou Jianjun 　　Department of Anesthesiology，the Traditional Chinese Medicine Hospital of Danyang City，Jiangsu 212300 　　Abstract Objective：To explore the anesthesia effect of dezocine for painless artificial abortion.Methods：200 cases with painless artificial abortion were selected from August 2013 to March 2014.They were randomly divided into the observation group and the control group with 100 cases in each.The control group were given the Ventani 1μg/kg for intravenous injection，followed by 2mg/kg propofol for intravenous anesthesia.The observation group were given 5mg dezocine in 5 minutes before operation，and 2mg/kg propofol for intravenous anesthesia.We compared anesthetic effect in two groups.Results：In the observation group，the anesthesia effect in 84 cases was 1 level.12 cases were 2 level.4 cases were 3 level.The total efficiency was 96%.In the control group，the anesthesia effect in 70 cases was 1 level.16 cases were 2 level.14 cases were 3 level.The total efficiency was 86%.There was significant difference between two groups（P0.05）.Conclusion：The effect of dezocine combined with propofol for painless artificial abortion is good，and adverse reaction is small. 　　Key words Painless artificial abortion；Dezocine；Propofol 　　人流是终止妊娠的一种方法，近年来，人流人数不断增加，而且年龄也越来越小。由于疼痛的干扰，多数患者难以耐受，因此，降低人流疼痛感觉对人流有着重要的意义。随着麻醉技术的发展，无痛人流已经成功应用于临床，地佐辛（Dezocine）联合丙泊酚（Combined with propofol）麻醉是目前常用的无痛人流方法[1]。为探讨其麻醉效果，2013年8月-2014年3月收治无痛人流患者200例，进行总结和分析，现报告如下。 　　资料与方法 　　2013年8月-2014年3月收治无痛人流患者200例，随机分成对照组和观察组各100例，其中观察组年龄23～41岁，平均年龄26.8