Compatibility of propofol with fentanyl in gynecological outpatient surgery of the analgesic effect.docVIP

 PAGE \* MERGEFORMAT 7 Compatibility of propofol with fentanyl in gynecological outpatient surgery of the analgesic effect [Keywords:] fentanyl; propofol; combination therapy; pain Our hospital in January 2006 to carry out painless outpatient gynecologic surgery. Including abortion, sub-curettage, intrauterine surgery, cervical dilatation, cervical biopsy, uterine surgery set to ring, excision of cervical polyps, cervical small fibroids excision, curettage, Hysterosalpingography total of 267 cases for the 11 categories of outpatient surgery, and achieved good results, are summarized below. 1 Materials and Methods 1.1 General Information Select January 2006 -2008 on October gynecological clinic in our hospital more than 11 types of pain conditions, minor downside for patients, a total of 267 cases. Which induced abortion 176 (176 cases of uterine scar in 53 cases); DUB 26 cases: 18 cases of postmenopausal bleeding (of which the oldest is 75 years old); from Central operation in 18 cases (12 cases 6 months after menopause 2 years demanded Central); 6 cases of cervical lesions; requirements Central, 13; cervical polyp in 3 cases; cervical small fibroids 13; drug flow insufficiency and 6 cases of incomplete abortion; endometrial cancer in 6 cases. All patients were voluntary request painless surgery. The youngest patient of 14 years (dysfunctional uterine bleeding patients), the maximum age of 75. abortion patients who are not producing 84 cases of menopause is 45 days to 70 days. weight of 44 ~ 75kg, except in patients with gynecological diseases, but also with diabetes, hypertension and other diseases. 1.2 Methods of preoperative fasting 6 ~ 8h, no preoperative medication, into the operating room routine monitoring ECG, blood pressure, breathing and SPaO2, surgical sterilization, the intravenous administration of fentanyl (10μg/kg), 1 ~ 2min after the slow intravenous injection of propofol until patients lost consciousness after surgery, additional