异丙酚复合小剂量芬太尼在人工流产钳刮术中的应用及护理

Clinical application and nursing on the small dose of propofol combined with fentanyl in the surgical abortion forceps in the analgesic

目的探讨异丙酚复合小剂量芬太尼在人工流产钳刮手术中的镇痛、镇静深度、对患者一般情况的影响和术后机体恢复状况。方法选择孕13～14周行人工钳刮流产手术的门诊孕妇,随机分为A、B两组。A组采用异丙酚复合小剂量芬太尼,B组只用芬太尼。术前、术后均给予心理护理、健康教育、卫生指导。结果 A组异丙酚用量明显少于B组,A组镇痛镇静优良率100%,心血管反应A、B两组无差异,子宫收缩情况两组无差异。结论通过心理指导、健康教育,异丙酚复合小剂量芬太尼用于钳刮流产手术,术中勿需追加异丙酚用量,费用低廉,疗效可靠,患者易于接受,值得临床推广应用。

Objective To observe the small dose of piopefol combined with fentanyl in the surgical abortion forceps in the analgesic, sedative depth, the impact of general patients and postoperative recovery status of the body. Methods 13 - 14 weeks pregnant with artificial abortion forceps outpatient pregnant women, were randomly divided into A, B groups. A group with a small dose of propofol combined with fentanyl, B group only fentanyl. Before surgery, were given psychological care, health education, health guide. Results A group of pmpofol dosage was less than B group, A group of analgesia and sedation excellent rate was 100%, cardiovascular response to A, B There was no difference, no difference between the two groups of uterine contraction. Conclusion The psychological guidance, health education and pmpofol combined therapeutic effect of small dose of fentanyl for abortion forceps, iutranperative Needless to an additional dosage of pmpofol, low - cost, effective, reliable, easy to accept the patient, it is worth clinical practice.