摘要
目的:观察口服曲马多在无痛人工流产中的应用效果。方法:100例ASAⅠ-Ⅱ级行无痛人工流产的患者随机均分为A组(术前2h口服曲马多100mg后采用丙泊酚麻醉)和B组(单纯采用丙泊酚麻醉)。观察两组术中体动反应情况、术后不良反应、丙泊酚总用量、血氧饱合度、血压、心律变化、唤醒时间和患者清醒后5、20mim、离院时的VAS评分。结果:A组术中体动反应显著轻于B组;A组术后唤醒时间明显长于B组;A组术后恶心、头昏、嗜睡现象明显多于B组;A组清醒后5、20min、离院时VAS评分均低于B组。结论:术前2h口服曲马多可减少丙泊酚无痛人流中的术中燥动,减轻术后疼痛,但也伴有一些不良反应,可酌情考虑是否采用。
Objective:To investigate the effect of tramadol on Induced abortion.Methods:Patients were divided into group A and B randomly.In group A 100mg tramadol was administrated before propofol while only propofol was given in group B.Some factors were observed,including intraoperative movement,posterperative adverse effects,total dose of propofol,SpO2,blood pressure,heart rate,awake time,and VAS score.Results:Frequency of intraopertive movement in group A is less than in group B;Awake time in group A is longer than in group B;Adverse effect such as nausea,dizziness and somnolence in group A is more than in group B;VAS score in group A is lower than in group B.Conclusions:Preoperative administration of tramadon can reduce intraoperative movement and alleviate postoperative pain regardless of some adverse effect.
关键词
曲马多
丙泊酚
人工流产
Tramadol
Propofol
Induced abortion
