地佐辛复合依托咪酯在人工流产术中临床应用及护理体会.docVIP

地佐辛复合依托咪酯在人工流产术中临床应用及护理体会 　　[摘要] 目的 探讨地佐辛复合依托咪酯用于人工流产术的安全性、可行性及护理措施。 方法 将300例预行静脉全麻人工流产术的孕妇（ASAⅠ-Ⅱ级）随机分为三组，即地佐辛复合依托咪酯组（Ⅰ组，n=100）、芬太尼复合依托咪酯组（II组，n=100）和单纯依托咪酯组（Ⅲ组，n=100）。必要时追加依托咪酯。观察并记录三组孕妇麻醉前、注药后、苏醒时的平均动脉压（Mean arterial pressure，MAP）、心率（Heart rate，HR）、血氧饱和度（degree of blood oxygen saturation，SPO2）。观察比较各组的麻醉效果以及宫颈松弛程度、遗忘程度。总结相关护理措施的经验体会。 结果 三组孕妇术前在比较MAP、HR和SPO2方面无显著差异（P0.05）；经过治疗后三组孕妇各项指标变化显著；Ⅱ组孕妇的SpO2值低于其他两组孕妇，比较具有显著差异（P0.05）；在苏醒时，Ⅰ组、Ⅱ组MAP、HR明显低于麻醉前比较具有显著差异（P0.05）。三组孕妇镇痛效果均较满意，与此同时，Ⅰ组、Ⅱ组分别与Ⅲ组的镇痛效果、宫口松弛、遗忘程度三项指标结果的有效率对比存在显著性差异（P0.05）。 结论 地佐辛复合依托咪酯适用于人工流产术麻醉并且术后镇痛效果好、并发症少，值得临床推广应用。无痛人工流产护理过程应密切监护生命体征、注意观察术中、术后的麻醉相关不良反应。 　　[关键词] 地佐辛；依托咪酯；人工流产术；麻醉 　　[中图分类号] R614 [文献标识码] B [文章编号] 2095-0616（2015）17-122-04 　　Clinical application of dezocine combined with etomidate in induced abortion and nursing experience 　　LU Jing WANG Hui CAO Xiaoting 　　Department of Obstetrics，Qingdao Municipal Hospital，Qingdao 266071，China 　　[Abstract] Objective To explore the safety and feasibility of dezocine combined with etomidate in induced abortion and nursing measures. Methods 300 pregnant women who were prepared to receive intravenous anesthesia induced abortion （ASAⅠ-classⅡ） were randomly divided into three groups，namely，the dezocine combined with etomidate group （group I，n=100），the fentanyl combined with etomidate group （groupⅡ，n=100） and the etomidate group （group Ⅲ，n=100） which would receive etomidate when necessary.Mean arterial pressure （MAP） of pre-anesthesia，after injection and in recovery time，heart rate （HR） and degree of blood oxygen saturation （SPO2） of pregnant women in three groups were observed and recorded.Anesthetic effect，the degree of cervical relaxation and oblivious degree of each group were observed and compared.The experiences of relevant nursing measures were summarized. Results MAP，HR，SPO2 before the operation of pregnant women in three groups had no significant differences （P0.05）.Each index was significantly changed after treatment of pregnant women in three g