异丙酚联合芬太尼用于无痛人流的临床观察

Clinical Observation of the Propofol Combined with Fentany in Painless Abortion

目的观察异丙酚联合小剂量芬太尼静脉推注应用于无痛人工流产术中的综合临床效果,探讨适合无痛人流术的有效麻醉方法。方法将300例从2006年9月到2008年8月入住普宁市妇幼保健院接受人工流产手术的患者随机平均分为两组。对照组在手术前单纯注射异丙酚,实验组在对照组的基础上加注芬太尼。评价和分析两组宫颈松弛程度、手术出血量、术后并发症、手术时间和麻醉效果等数据。结果实验组用药追加次数少,在各方面指数均优于对照组。结论异丙酚联合小剂量芬太尼片应用于无痛人流对呼吸系统抑制作用小,术后并发症小,效果明显,能显著提高患者的生活质量,值得在临床上推广和应用。

Objective To observe the comprehensive clinical effects ofpropofol combined with small dose of fentany in painless abortion, and explore the effective anesthesia method fitted for painless abortion. Methods 300 eases of patients in Puning maternal and children health hospital for painless abortion surgery from September 2006 to August 2008 were randomly divided into two groups on average. Experimental group were injected with propofol simply and control group were injected with propofol combined with fentany before surgery. Cervical relaxation degree, bleeding and postoperative complications, surgical operation time and anesthesia effect by statistics and analysis of data. Then the data of two groups including cervical relaxation degree, bleeding, postoperative complications, surgery time and anesthesia effect were evaluated and analyzed. Results Experimental groups showed fewer superaddition frequencies of drugs, and better effects in all aspects of the index than control group. Conclusion Propofol combined with fentany in painless abortion has fewer inhibition of respiratory system and fewer postoperative complication, can significantly improve the life quality of patients, so is worthy of popularizing and applying with clinically.