Preemptive analgesia with tramadol for pain of propofol observed flow.docVIP

 PAGE \* MERGEFORMAT 3 Preemptive analgesia with tramadol for pain of propofol observed flow [Keywords:] of tramadol analgesic effects of propofol painless flow There are many ways abortion anesthesia, propofol awakening due to rapid and high quality is applied to short surgical abortion the greatest advantage. Simple application of propofol intravenous anesthesia in induced abortion, difficult to control the depth of anesthesia, anesthesia blood pressure will drop too deep and too shallow anesthesia body movement response occurs, affecting surgeon operate, so the analgesic and sedative effect of the limited . Authors since March 2005 to August 2007 using preoperative intravenous tramadol propofol given after the method of anesthesia to evaluate the advance of tramadol analgesic effect, and to observe patients with intraoperative hemodynamic changes. Report are as follows. A clinical data 1.1 General Information 80 cases of pregnant patients in this group, aged 19 to 36 years old, weighing 38 ~ 72kg, ASA Ⅰ ~ Ⅱ grade, no drug dependence, mental illness, epilepsy, severe allergy and cardiopulmonary functions such as liver and kidney insufficiency, Ⅰ group tramadol pre-emptive analgesia propofol anesthesia group, Ⅱ group was pure propofol anesthesia. 1.2 Methods Preoperative patients had fasted 8 ~ 12h, and given atropine 0.01mg/kg. Into the operating room after the intravenous injection of lactate Ringer’s solution 500ml, normal oxygen and non-invasive blood pressure, heart rate and pulse oxygen saturation (SpO2) monitoring. Ⅰ group I 1.5 ~ 2.5mg/kg propofol induction, surgical sterilization before I 2.5mg/kg intravenous tramadol; Ⅱ group with the use of propofol in group Ⅰ , but do not use Tramadol. Two groups of patients in both the intermittent demand additional propofol 0.5 ~ 1.0 mg / kg to the completion of surgery. 1.3 OUTCOME MEASURES The basis of records of patients with blood pressure and after treatment, 1,5,10 min after the blood pressur