异丙酚不同联合用药与单纯异丙酚麻醉用于人工流产手术麻醉效果的比较

Comparison of anesthesia effect of combined regimen with propofolum and propofoinm only in induce abortion

目的观察异丙酚联合用药与单纯异丙酚麻醉在人工流产术中的疗效。方法150名早孕妇按麻醉诱导用药分口组：口组为单纯用异丙酚；口组为异丙酚＋芬太尼1μg／kg；口组为异丙酚＋曲马多1mg／kg。结果口、口组在麻醉效果上优于口组；在麻醉入睡时间上口、口组比口组要快；异丙酚用量口、口组比口组要少；苏醒时间口、口组比口组要快。各项观察结果经统计学处理均有显著性差异，P〈0．05或P〈0.01。结论异丙酚联合用药与单纯异丙酚麻醉用于人工流产手术麻醉效果肯定，但复合用药加强了镇痛，提高了麻醉效果，又明显减少异丙酚用量，缩短苏醒时间。

Objective To evaluate the efficacy of combined regimen with propofolurn and propofolurn only in induce abortion. Method 150 patients with early pregnancy were divided into 3 groups： group I with propofolum only; group Ⅱ with propofolurn and fentanyl 1μg/kg; group Ⅲ with propofolurn and trarnadol lrng/kg. Result Anesthesia effect was better in group Ⅱ and Ⅲ than that in group I. Dose of propofolurn, time of falling asleep and time for analepsia had the same trend, all with significantly difference （P〈0.01）. Condusion Both of combined regimen with propofolurn and propofolurn only had acceptable anesthesia effect in induce abortion, but combined regimen could improve the efficacy, reduce dosage of propofolurn, shortening the time for analepsia.