无痛人流术中注射泵与手推注异丙酚效果比较

The Comparison of the Anesthetic Effects of Propofol by Injection Pump and General Syringe Medication During Painless Artificial

目的观察注射泵推注与手推异丙酚在无痛人流术中的效果比较。方法将100例人工流产患者随机分为两组,注射泵组(A),手推组(B),各50例。A组:注射泵给药,诱导速度1.5mg/kg/min,量2～2.5mg/kg,维持速度0.1mg/kg/min,手术结束时停药;B组:手推注药,诱导量2.5mg/kg,在60s左右推完,手术期间根据情况追加5ml左右。分别观察两组诱导、苏醒时间、总药量、麻醉效果,及诱导前后血压、心率、血氧饱和度的变化。结果A组诱导、苏醒时间、用药量均低于B组(P<0.01)两组诱导后血压、心率、血氧均低于术前(P<0.05)。结论注射泵推注异丙酚麻醉效果优于手推法。

Objective Comparing the anesthetic effects of propofol by injection pump and general syringe medication during painless artificial abortion . Methods 100patients scheduled for painless artificial abortion were divided into two groups randomly ,Group A received propofol by injection pump ,and group B by general syringe ,50 cases pre group. The propofol injection rate in group A was firstly controlled at 1.5mg/kg/min , the medication dosage was 2～2.5mg/ kg. Maintained at 0.1mg/kg/min and stopped injection when operation ended, Group B patients by general syringe , induced dosage at 2.5mg/kg taking around 60s to complete ,The patients could be added 5ml dosage if they moved during the operation , investigate and compare the induce time ,resuscitation time ,total medication dosage ,anesthetic effects in two groups respectively ,and the difference of BP ,HR ,SPO2 before and after the induce dosage medication . Result The induce dosage ,resuscitation time and total dosage in group in group A were all lower than group B (P<0.01), and BP,HP and SPO2 after induction in two groups were all lower than operation (P<0.05) . Conclusion The anesthetic effects of propofol injection by injection pump in artificial abortion is better than by general syringe.