异丙酚与异丙酚复合芬太尼麻醉下人工流产的观察

The clinic observation of the induced abortion under propofol anesthesia combined with fenlanyl

目的 探讨单用异丙酚与异丙酚复合芬太尼麻醉下行人工流产术的不同有效性与安全性。方法 病人术前均禁食水4～12 h。异丙酚组静脉推注异丙酚2～2.5mg/kg诱导,间断推注异丙酚30～80mg维持麻醉至术毕。异丙酚复合芬太尼组先静注0.2～0.5μg/kg,1min后静脉异丙酚1.5～2.0mg/kg,间断推注异丙酚20～50mg维持麻醉至手术结束。用药前诱导2min、术后连续监测并记录病人的血压、心率、及血氧饱和度。结果 两组麻醉方法均能达到诱导快,术后苏醒迅速。而在用药量、镇痛效果及术后腹痛程度方面,异丙酚复合芬太尼组明显优于异丙酚组,它用药量少,术中镇痛效果好,且术后腹痛程度轻微。结论 异丙酚联合小剂量芬太尼麻醉行人工流产术,具有更满意的麻醉效果和更高的手术安全性,是值得推广的无痛人流方法。

Objective To compare the effeciency and safety befween only propofol anesthesia and combined propofol/fenlanyl anesthesia. Methods The patients did not drink and eat 4-12 h preoperation. Then, 2-2.5 mg/kg propofol was injected intravenously in the propofol group, continuing to inject 30-80 mg propofol for the operation over. In propofol/fentanyl group, 0.2-0.5 μg/kg fentanyl was injected, 1.5-2.0 mg/ kg propofol was done 1 min later. Then injected intravenously 20-50 mg propofol discontinuously for operation over. The blood pressure, heart rate and blood oxygen saturation were monitored. Results Both anesthesia methods were fast in anesthetizing and awakening. The propofol/fentanyl group was the dominant in the anesthesia effect and relieving abdominal pain of postoperation. Conclusion Propofol combined with small fentanyl intravenous anesthesia was satisfied in the induced abortion. It was better for wide use in anesthesia effeciency and operative safety.