穴位贴敷联合芬太尼及丙泊酚麻醉用于诊断性刮宫的效果观察

Effect of acupoint application combined with fentanyl and propofol in diagnostic curettage

目的了解穴位贴敷联合芬太尼及丙泊酚麻醉用于诊断性刮宫术中的镇痛、镇静效果。方法90例诊断性刮宫适应证患者随机分为3组,每组30例。A组术中采用丙泊酚麻醉,B组采用丙泊酚联合芬太尼麻醉,C组采用穴位贴敷联合丙泊酚和芬太尼麻醉,对比3组的镇痛、镇静效果。结果C组患者的麻醉和镇痛效果、术中肢体活动和人工流产综合征发生情况,以及诱导后3 min和术毕的血压、心率均明显优于A组(P<0.01或0.05),但与B组比较差异无统计学意义(P>0.05);C组患者丙泊酚用量和麻醉效果维持剂量均少于A组,睫毛反射消失时间、麻醉时间和手术时间短于A组,不良反应发生率低于A组,手术时间亦短于B组(P<0.01或0.05)。结论应用穴位贴敷联合芬太尼及丙泊酚对诊断性刮宫术进行麻醉,其镇痛、镇静效果良好,可缩短手术时间,有利于预防不良反应的发生。

Objective To explore the analgesic and sedative effects of acupoint application combined with fentanyl and propofol in diagnostic curettage.Methods A total of 90 patients with indications for diagnostic curettage were randomly divided into three groups according to the random number table method,30 cases in each group.Group A was anesthetized with propofol,Group B was anesthetized with propofol combined with fentanyl and Group C was anesthetized with acupoint application combined with propofol and fentanyl.The analgesic and sedative effects of the three groups were compared.Results The anesthetic and analgesic effects,intraoperative limb movement,incidence of induced abortion syndrome,blood pressure and heart rate at 3 min after induction and after operation in the Group C were significantly superior to those in the Group A(P<0.01 or 0.05),but were not statistically different from those in the Group C(P>0.05).The Group C has the usage of propofol and the anesthetic effect maintenance dose lower than the Group A,the disappearance time of eyelash reflex,anesthesia time and operation duration shorter than the Group A,the incidence of adverse reactions lower than that in the Group A,and the operation duration also shorter than that in the Group B(P<0.01 or 0.05).Conclusion Application of acupoint application combined with fentanyl and propofol can achieve a good analgesic and sedative effect.It can not only shorten the operation duration,but also be conductive to the prevention of adverse reactions.