丙泊酚.芬太尼联合应用在人工流产中疗效观察.doc

丙泊酚.芬太尼联合应用在人工流产中疗效观察【摘要】 目的 观察丙泊酚联合芬太尼在人工流产的疗效。方法 对100例早孕妇女,在常规消毒的同时,静脉注射芬太尼2ug.kg丙泊酚0.4mg.kg,观察麻醉效果、宫口松驰、人工流产综合征(PAAS)发生率及出血量。并分别记录推药前、入睡后、手术时清醒后等参数。以及苏醒情况。结果 丙泊酚联合芬太尼在应用于人工流产术,起效快,镇痛效果明显有效率达98%。与对照组比较差异有显著性宫口松驰与对照比较,有统计学差异。苏醒早、血压心率无明显变化,无一例发生人工流产综合征,(PAAS)与对照组比较有显著性差异,出血量与对照组比较无显著差异。结论 是丙泊酚联合芬太尼静脉麻醉是人工流产术中的适宜的麻醉方法之一,可达到无痛人工流产的良好效果。 【关键词】 人工流产术 丙泊酚 芬太尼 静脉推注 【Abstract】 Objective Propofol combined with Fentanyl in Abortion. Methods 100 cases of early pregnancy women, while the regular disinfection, intravenous fentanyl 2ug.kg propofol 0.4mg.kg, observation of anesthesia, cervix relaxation, abortion syndrome (PAAS) and the incidence of bleeding volume. And push drugs were recorded before, asleep, awake after surgery and other parameters. And wake conditions. Results of propofol combined with fentanyl in applied artificial abortion, rapid onset of analgesic effect is obvious effective rate of 98%. Compared with the control group there were significant differences in cervix relaxation compared with control, significantly different. Wake up early, no significant changes in blood pressure and heart rate, no case of abortion syndrome, (PAAS) compared with the control group there were significant differences in blood loss compared with the control group, no significant difference. Concluded that fentanyl and intravenous propofol anesthesia in induced abortion is the appropriate method of anesthesia, one can achieve good results in induced abortion. 【Key words】 abortion propofol intravenous injection of fentanyl 人工流产术是目前广泛应用于避孕失败的补救措施之一。为了解除受术者恐惧心理,减少术中疼痛,减少人工流产中人工流产综合症(PAAS)的发生.我们在术前应用丙泊酚.芬太尼静脉注射,取得了无痛人工流产的患者满意效果,现总结如下 1 资料与方法 1.1选择我院2007年1月至2008年6月的患者,年龄在20-40岁,平均26岁,孕6周-12周要求终止妊娠,无手术禁忌症者200例。随机分为观察组与对照组各100例。观察组中初孕者30例,占30%两次以上妊娠:未产妇35例,占35%;经产妇35例,占35%对照组初孕者32例,占32%,两次以上妊娠33例,占33%,经产妇35例,占35%.经统计学处理无显著性差异。 1.2方法 观察组:受术者前常规禁饮食,术前常规消毒的同时,由麻醉师配合静脉注射芬太尼20ug/kg后,再静脉推注丙泊酚0.4mg/kg(推注时间约1min)待受术者意识消失后,开始常规操作。从推药至受术者入睡的时间为0.6-1.2min。扩张器从4.5号开始,逐号扩张宫口,术中观察无阻力