无痛人工流产手术中应用丙泊酚复合舒芬太尼的麻醉效果探究.docVIP

精品论文 参考文献 无痛人工流产手术中应用丙泊酚复合舒芬太尼的麻醉效果探究 湖南省岳阳市妇幼保健院 414000 【摘 要】目的：探究丙泊酚复合舒芬太尼在无痛人工流产应用中的麻醉效果。方法：选取2015年9月-2016年9月在本院进行无痛人工流产手术的ASAⅠ-Ⅱ级的80例孕妇，随机分为对照组和观察组。对照组采用丙泊酚麻醉，观察组采用丙泊酚复合舒芬太尼麻醉。比较两组药物用量、不良发应发生率、术后苏醒时间以及镇痛效果等情况。结果：两组患者在药物用量、不良发应发生率以及术后苏醒时间比较上，均有观察组优于对照组；观察组镇痛有效率为100.0%，对照组镇痛有效率为90.0%，两组在镇痛有效率比较上观察组明显优于对照组；差异均具有统计学意义（均Plt;0.05）。结论：丙泊酚复合舒芬太尼应用于无痛人工流产手术具有较好的麻醉效果和镇痛效果，不良反应发生率低，安全方便，建议在临床推广应用。 【关键词】无痛人工流产；丙泊酚；舒芬太尼 Abstract：Objective：To investigate the anesthetic effect of propofol combined with sufentanil in painless induced abortion. Method：80 pregnant women of ASA Ⅰ-Ⅱ grade were enrolled in our hospital from September 2015 to September 2016，and were randomly divided into control group and observation group. Propofol anesthesia was used in the control group and propofol combined with sufentanil were treated in the observation group. The incidence of adverse reactions，postoperative awakening time and analgesic effect were compared between the two groups. Results：For the patients in different groups，the observation group was superior to the control group in the dosage of drugs，incidence of adverse reactions and postoperative awakening time. The analgesic effective rate was 100.0% in the observation group and 90.0% in the control group. The analgesic effective rate in the observation group was superior to that in the control group. The difference was statistically significant（all P lt;0.05）. Conclusion：Propofol combined with sufentanil has a good anesthetic effect and analgesic effect on painless artificial abortion. The incidence of adverse reactions is low and safe and convenient. It is recommended to apply it in clinical practice. Key words：painless induced abortion；propofol；sufentanil 人工流产手术疼痛多由扩张宫颈时以及负压吸宫造成的刺激引起[1]。丙泊酚作为常见麻醉药，具有起效快、苏醒快、作用时间短等优点，但是其镇痛效果弱，并且术中已发生短暂性呼吸抑制，需要与其他镇痛药物联用。舒芬太尼镇痛效果极佳，近年逐渐在临床广泛应用。本研究将丙泊酚复合舒芬太尼麻醉应用于无痛人流手术中，取得了不错麻醉效果，现报道如下。 1资料与方法 1.1一般资料 本次研究对象选自2015年9月-2016年9月在本院进行无痛人工流产