丙泊酚联合舒芬太尼用于无痛人工流产的临床观察

The application of Propofol combined with Sufentanil in the painless induced abortion

目的：研究舒芬太尼联合丙泊酚用于门诊无痛人工流产麻醉的效果。方法：选择门诊人工流产ASA1～2级200例，随机分为两组各100例。A组：丙泊酚联合0．1μg／kg舒芬太尼进行人工流产麻醉。B组：丙泊酚联合芬太尼进行人工流产麻醉。观察MAP、HR、Sp02，记录丙泊酚的总剂量、意识消失时间、意识恢复时间和定向力恢复时间、术中呼吸抑制和术后宫缩痛的发生率。结果：A组术后宫缩痛发生率明显低于B组（X^2=15．34，P〈0．01）。结论：丙泊酚联合适当剂量的舒芬太尼（0．1μg/kg）用于门诊无痛人工流产麻醉，不仅减少了总用量，而且非常有效地抑制术中或减轻患者术后宫缩痛，且不影响清醒质量，从而提高患者的满意率。

Objective：To study the effect of Pmpofol combined with Sufentanil in the painless induced abortion. Methods：200 patients with induced abortion（ ASA I- II） were randomly divided into two groups（ 100 cases in each group）. Group A： Propofol combined with Sufentanil 0.1 μg/kg were used for anesthesia in induced abortion. Group B ： Propofol combined with fentanyl were used for anesthesia in induced abortion. Observed MAP, HR and SpO2 , recorded the total does of Propofol, consciousness loss time, consciousness recovery time, orientation force recovery time, the incidence of intraop- erative respiratory depression and postoperative uterine pain. Results： The incidence of postoperative uterine pain in group A was significantly lower than that in group B（ X2 = 15.34 ,P 〈 0.01 ）. Conclusion： Propofol combined with appropriate dose of Sufentanil （0.1 μg,/kg） used for painless induced abor- tion anesthesia, not only reduce the total amount, but also very effective in suppressing the intraoperative or reducing patients＇ pain of uterine contraction, and does not affect the quality, so as to improve patients satisfaction.