可塞风联合静安及阿托品在人流中镇痛效果观察

Analgesic Effect of Lomoxicam,Propofol and Atropine during Induced Abortion

目的观察可塞风联合静安及阿托品联合应用在人工流产中的镇痛。方法选择无人工流产禁忌症者100例,随机分为研究组（50例）：于术前静脉注射可塞风8mg、静安1.5～3.0mg/kg和阿托品0.25mg;对照组（50例）：于术前静脉注射芬太尼0.05mg、静安1.5～3.0mg/kg和阿托品0.25mg。观察2组麻醉镇痛效果,循环、呼吸系统变化及并发症。结果研究组麻醉镇痛效果满意,优级率92%,与对照组比较差异无统计学意义（P〉0.05）,而循环、呼吸系统变化及并发症,2组比较差异无统计学意义（P〉0.05）。结论可塞风联合静安及阿托品联合应用静脉麻醉镇痛效果满意,是临床一种理想的无痛人工流产术方法。

Objective To observe analgesic effect of combination of propofol, lomoxicam and atropine during the induced abortion. Methods 100 induced abortion cases were randomly divided into two groups： study group（50 cases） were intra-venous injected with lomxicam,propofol and atropine before operation, and control group（50 cases） were intravenous injected with fentanyl, propofol and atropine before operation. The analgesic effect, respiratory and circulatory system complications were observed in two groups. Results There was better analgesic effect in study group,the rate of good analgesic was 92% ,and the difference between the two groups was significant （P 〉0. 05 ）, but respiratory and circulatory system complications had no significant difference between two groups （P 〉 0. 05 ）. Conclusions The analgesic effect of propofol, lomoxicam and atropine is satisfied for induced abortion. It＇ s one way for the induced abortion analgesic.