异丙酚芬太尼复合麻醉用于人工流产术60例

Artificial Abortion with Combined Anesthesia using Isopropyl Phenol and Fentanylu on 60 Cases

目的 寻求减轻人工流产术中麻醉药物不良反应的途径。方法 将妊娠 4 5～ 70天孕妇 12 0例随机配对分为对照组和实验组 ,各 60例。对照组单纯用异丙酚静注 ,实验组先肌注阿托品 ,然后静注芬太尼、异丙酚。结果 实验组诱导期异丙酚用量明显少于对照组 (P <0 .0 1) ,实验组麻醉效果、镇痛效果明显优于对照组 ,所获数据经t检验。结论 异丙酚与芬太尼复合应用 ,增强了镇痛效果 ,减少了异丙酚用量 ,减轻了异丙酚对呼吸、循环的抑制作用。麻醉前应用阿托品 ,可拮抗芬太尼对呼吸的抑制 ,舒张冠状血管 。

Objective In order to avoid bad reaction of anesthesia during the artificial abortion.Methods 120 pregnant women with 45 to 70 days pregnancy have been divided into two groups:the therapeutic group (A) and the control group (B).Each group had 60 pregnant women.These in group A have been given Isopropyl Phenol intravenous drip and those in group B first have been given Atropine injection and then given Fentanylum and Isopropyl Phenol .Results The dose of Isopropyl Phenol in group B was obviously less than the dose in group A(P<0.01) and the analgesic effect is obviously better than this in group A.Conclusion The combinative use of Isopropyl Phenol and Fentanylum can increase analgesia effect and decrease the mount of Isopropyl Phenol,release respiratory and circulatory inhibitory effect.Using artropine before anesthesia may anti-inhibitory effect caused by Fentanylum and also diastolize cordnary artery and quicken rhythm of the heart.