异丙酚复合芬太尼用于无痛人工流产术的临床效果观察

Clinical effects of propofol combined with fentany on artifical abortion

目的观察异丙酚复合芬太尼用于无痛人工流产术的临床效果。方法选择自愿接受无痛人工流产术的早孕妇女100例,术前建立静脉通道,首先注入芬太尼0.1mg,然后缓慢推注1.0～2.0mg/kg异丙酚。同时,选择自愿接受传统人工流产术的早孕妇女100例作为对照,术中不做任何麻醉处理。观察实验组与对照组相比在镇痛效果、宫颈松弛情况、失血量和人流综合征发生率等方面的差异。结果异丙酚复合芬太尼静脉麻醉在镇痛效果、宫颈松弛情况和人流综合征发生率等方面较对照组相比差异显著(P<0.001或P<0.05),在失血量方面差异不具有统计学意义。结论异丙酚复合芬太尼静脉麻醉镇痛效果确切,不良反应少,是较为理想的无痛人工流产麻醉方法。

Objective： To study clinical effects of propofol combined with fentany on artifical abortion. Methods： After choosing the methods by their own will , one hundred early pregnant women receiving propofol combined with Fentany for painless induced abor- tion were chosen as the study group , and the other 100 women without anesthesia were chosen as control group. The pain of patients, Uterine contraction, morbidity of the induced abortion syndrome and capacity of hemorrhage between two groups were compared. Re- salts： The results showed that there were significant differences between two groups in pain, uterine contraction and morbidity of the induced abortion syndrome. The efficacy of pain relive reached 100 % and no RAAS occurred. There was no difference of capacity of hemorrhage between the two groups. Conclusion： Propofol combined with Fentany in artifical abortion is safety and effective. It is a good method to terminate pregnancy.