地佐辛预防人流手术子宫颈扩张所致体动反应的临床观察

Dezocine prevent artificial abortion operation of cervical dilation caused by clinical observation of body dynamic response

目的观察地佐辛复合丙泊酚麻醉对人流手术中宫颈扩张操作所致体动反应的抑制效果。方法选取全麻人流手术需术中进行宫颈扩张的患者加例,随机分成两组。所有患者均使用丙泊酚3mg/kg进行静脉全麻。术中进行扩张宫颈操作前两组无加任何处理。两组患者于扩张宫颈操作期间如发生体动反应,则暂停手术,观察组加用地佐辛0.1mg/kg,对照组追加丙泊酚1mg/kg后再重新开始操作。术后统计两组患者扩张宫颈操作时发生体动反应的例数。结果观察组出现体动反应患者4例,对照组5例,追加地佐辛和丙泊酚均能有效抑制体动反应的发生;但观察组的丙泊酚用量、辅助呼吸时间及停药至清醒时间明显低于对照组,两组间比较有显著性差异(P<0.05)。结论地佐辛复合丙泊酚麻醉能有效减少人流手术中宫颈扩张操作所致体动反应的发生例数,效果更优于单独使用内泊酚。

Objective To evaluate the prevention for restless moving led by cervical dilatation during artificial abortion. Methods 40 patients undergoing artificial abortion who needed cervical dilatation were divided into 2 groups randomly. Observation group （n=20） and control group （n=20）. All the patients were undergone general anesthesia by propofol（3mg/kg）, if restless movement occurred during the operation of cervical dilatation. Dezocine （0.1mg/kg） was injected for the observation group patients while propofol （lmg/kg） for the control group patients. Restless movements were observed and calculated after operations. Results Both injection of dezocine and propofol could reduce restless movement efficiently. But the total dose of propofol,the duration of assisted respiration and the duration of recovery in the observation group were all lower than in the control group significantly （P〈0.05）. Conclusion Dezocine combined with propofol could prevent restless movement during the operation of cervical dilatation efficiently and better than single propofol.