芬太尼加异丙酚与加咪唑安定在无痛人流中的临床选择

The Selection of with Fentanyl and Propofol in the Painless Induced Abortion

目的：探讨芬太尼加异丙酚与加咪唑安定在无病人流中的临床选择。方法：将300例行人工流产术患者随机分为两组，每组150例，均于术前缓慢静脉推注芬太尼0．05～0．1mg后，观察组静脉推注异丙酚1．0～2．0mg／kg；对照组静脉推注咪唑安定0．07～0．1mg／kg。观察两组术中镇病效果，宫颈口松弛度及人工流产综合征发生情况，比较两种方法在无痛人流术中应用的优缺点。结果：两组的镇痛效果、宫颈口松弛度及人流综合征发生情况无显著差异，观察组发生一过性呼吸抑制较对照组有显著差异。结论：两种方法均有良好的镇痛效果，但异丙酚组术中发生呼吸抑制明显高于咪唑安定组。临床上应根据患者妊娠时间，手术的难度等来选择麻醉方法。

Objective： To explore with fentanyl and propofol stability in the painless induced abortion. Method： 300 routine abortion patients randomly divided into two groups of trick, each 150 cases, the trick to slow intravenous push note controlled 0.05 - 0.1 mg ago, the observing group intravenous push note propofol 1.0 - 2.0mg/kg; pairs intravenous push note imidazo stability 0.07 - 0.1 mg/kg. Observed the analgesic effect of two games, while for cervical - abortion syndrome and the occurrence, two kinds of methods to compare the advantages and disadvantages in painless induced abortion. Result： Two sets of analgesic effect, while for cervical - abortion syndrome occurred and no Significant differences observed in a group of respiratory depression than in a group with significant differences. Conclusion： The analgesic effect of the two approaches is remarkable, however group games, respiratory despression occurred apparent high imidazo stability group, clinical pregnancy, the time may be based on the patients, such as surgery is the choice of narcotic means.