联合麻醉用于药流加无痛人流术的临床观察

The Clinical Observation of Anaesthesia Medicines in Medical Abortion and Painless Abortion

目的:观察丙泊酚、氯诺昔康、昂丹司琼联合用于药流加无痛人流术的临床效果。方法:产妇200例,ASAⅠ～Ⅱ级,随机分为2组,每组各100例。观察组为丙泊酚加氯诺昔康与昂丹司琼,联合用药,对照组单用丙泊酚。全程观察产妇血压、心率、呼吸、血氧饱和度、麻醉效果及围术期的不良反应。结果:观察组丙泊酚用量、苏醒时间小于对照组,但无统计学意义(P>0.05);观察组围术期呕吐及腹痛明显小于对照组(P<0.05)。结论:丙泊酚、氯诺昔康、昂丹司琼联合用于药流加无痛人流术可明显缓解围术期恶心、呕吐及腹痛,提高手术麻醉安全性,值得推广应用。

Objective：To observe the clinical effects of Propofol,Lornoxicam,Ondansetron used in medical abortion and painless abortion. Methods：Two hundred cases of patients,ASA status I or II,randomly divided into two groups：I Group had Propofol plus Lornoxicam and Ondansetron,II Group had only Propofol.Each group of 100 cases.Patients＇ blood pressure,heart rate,breathing rate,blood oxygen saturation,anesthesia reactions and perioperative adverse reactions were fully observd. Results：The amount of propofol used in I group and recovery time were less than in II group,but the difference was not significant（P0.05）,I group perioperative vomiting and abdominal pain were significantly less than II group（P0.05）. Conclusion：Propofol,Lornoxicam and Ondansetron used in medical abortion and painless abortion significantly improve perioperative nausea and vomiting,and abdominal pain,improve safety of operation and anesthesia,should be widely applied.