摘要
目的研究丙泊酚复合氯诺昔康在人工流产术中麻醉的效果。方法拟行无痛人工流产术的健康早孕妇女66例，随机分为3组，每组22例。A组：静注丙泊酚2．0mg／kg，术中必要时追加丙泊酚0．2～0．3mg／kg；B组：静注丙泊酚及芬太尼0．5μg／kg；C组：静注丙泊酚及氯诺昔康0．16mg／kg；B、C组均静注丙泊酚2．0mg／kg。分别记录术中SBP、HR、RR、SpO2，并观察各组镇痛效果、用药量、术毕恢复情况。结果3组比较术中SBP、HR、RR、SpO2的变化差异，有显著意义（P〈0．05）；A组用丙泊酚量最大，呼吸抑制发生率为42％；B组呼吸抑制发生率最大，为63％；C组无1例出现呼吸抑制；苏醒时间：B组长于A、C组（P〈0．05）。镇痛效果：3组均能为人工流产术提供有效的镇痛，但以B、C组为优。结论丙泊酚复合氯诺昔康用药量少，术后苏醒快，下腹痛发生率较低，是一种安全、有效的人工流产术镇痛方法。
Objective To study on anesthesia effect for artificial abortion with B and L. Methods 66 cases of painless aaificial abortion pregnancy women were divided into three groups. Group A was treated with B, group B was treated B and fentanyl and group C was treated with B and L based on group A. The SBP, HR, RR, SpO2, analgesia effect, dosage, recovery after operation were recorded. Results The changes of SBP, HR, RR, SpO2 in three group had significant difference. The respiratory inhibition in group A was 42%, in group B 63%. The recovery time in group B was longer than others. The group B and C had good analgesia effect. Conclusion The B and L might be safe and effective with less dosage and rapid recovery.
出处
《黑龙江医学》
2008年第9期686-687,共2页
Heilongjiang Medical Journal
