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丙泊酚联合小剂量芬太尼用于无痛人流麻醉的疗效观察 被引量:6

Observation on the Anaesthetic Effect of Propofol together with Low-dose Fentanyl in Painless Induced Abortion
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摘要 目的:探讨单纯丙泊酚与丙泊酚联合小剂量芬太尼用于无痛人流麻醉的镇痛效果及安全性.方法:选择60例自愿选择无痛人流终止妊娠的早孕妇女,随机分为两组.丙泊酚联合小剂量芬太尼组30例为治疗组,单纯丙泊酚组30例为对照组,观察睫毛反射消失的时间、术毕苏醒的时间、体动的次数、药物总量等.结果:治疗组镇痛总有效率达100%,对照组镇痛总有效率86.7%,两组比较有显著性意义P<0.05.睫毛反射消失的时间、术毕苏醒的时间,体动的次数,药物总量计算等方面,治疗组明显优于对照组,两组比较有显著性差异P<0.01.结论:治疗组应用于无痛人流麻醉镇痛效果优于对照组,效果确切,安全可靠. Objective: To investigate and compare the effect and reliability of sole propofol, and propofol together with low-dose fentanyl, in painless induced abortion. Methods: 60 early pregnant women who willingly chose painless induced abortion to terminate pregnancy were randomly divided into two groups. Patients in Group A (n=30) were anesthetized with propofol while those in Group B (n=30) were anesthetized with propofol together with low-dose fentanyl. The time for loss of eyelash reflex and palinesthesia, frequency of perioperative body movement and total drug dose were recorded. Results: The total effective rate of pain relief for propofol together with low-dose fentanyl was 100% while that for sole propofol was 86.7%, which showed significant difference between two methods (P〈0.05). The significant statistical difference was found in the time for loss of eyelash reflex and palinesthesia, frequency of perioperative body movement and total drug dose between Group A and B (P〈0.01). Conclusion: Propofol together with low-dose fentanyl is effective and reliable in painless induced abortion.
作者 陶文雁 张艳
出处 《内蒙古民族大学学报(自然科学版)》 2012年第1期97-99,共3页 Journal of Inner Mongolia Minzu University:Natural Sciences
关键词 丙泊酚 芬太尼 人工流产 麻醉 Propofol Fentanyl Induced abortion Anesthesia
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