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异丙酚联合芬太尼在人工流产手术中的应用 被引量:5

Application of a combination of propofol and FTC in induced abortion surgery
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摘要 目的 :观察早孕妇女应用异丙酚、芬太尼行无痛人工流产的疗效。方法 :选择自愿终止妊娠的早孕妇女 80例 ,随机分 2组 ,于人工流产前静脉注射芬太尼及异丙酚 ,观察并与对照组比较术中扩宫的难易程度、手术时间及手术并发症。结果 :人工流产前静脉注射芬太尼、异丙酚有明显镇静及镇痛作用 (P <0 .0 1)。它可使宫颈变软 ,易于扩张 ,手术时间明显缩短 (P <0 .0 1) ,减少人工流产并发症 (P <0 .0 1)。结论 :人工流产术前静脉注射芬太尼、异丙酚 ,可起到良好的镇痛作用 ,有效提高手术质量 。 Objective:To observe analgesic effect of propofol and fentanyl(FTC) on pregnant women undergoing early abortion surgery. Methods: 80 women with early pregnancy who voluntarily chose to terminate pregnancy were randomly divided into two groups: the control group and the treatment group with intravenous administration of propofol and FTC before abortion. The difficulty of dilatation of cervix, operation duration and complications were observed and compared between the two groups. Results: As compared with the control group, dilatation was easier to perform, operation duration was shorter and fewer complications occurred in the treatment group (P<0.01). It was also observed that propofol and FTC had obvious sedative and analgesic effects (P<0.01) and decrease complications of induced abortion operation (P<0.01). Conclusion: Propofol and FTC given before abortion operation could improve the operations by reducing painfulness and chance of complications.
机构地区 民航西安医院
出处 《国外医学(妇幼保健分册)》 2004年第5期315-316,共2页 Foreign Medical Sciences (Section of Maternal and Child Health)
关键词 异丙酚 芬太尼 人工流产 静脉注射 propofol fentanyl(FTC) induced abortion intravenous infusion
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  • 1Dordevic B,Loncar S D,Ivanovic D,et al.Coinduction in ambulatory anesthesia[J].Vojnosanit Pregl,2002,59(6):609-614.
  • 2Dahl V,Fjellanger F,Raeder J C.No effect of preoperative paracetamol and codeine suppositories for pain after termination of pregnancies in general anaesthesia[J].Eur J Pain,2000,4(2):211-215.
  • 3Higuchi H,Adachi Y,Arimura S,et al.Early pregnancy does not reduce the C(50) of propofol for loss of consciousness[J].Anesth Analg,2001,93(6):1565-1569.
  • 4Lichtenberg E S,Hill L J,Howe M,et al.A randomized comparison of propofol and methohexital as general anesthetics for vacuum abortion[J].Contraception,2003,68(3):211-217.

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