地佐辛联合丙泊酚用于无痛人流的临床评价

Clinical Evaluation of Diazepam Combined With Propofol for Painless Abortion

目的分析地佐辛联合丙泊酚用于无痛人流的效果及安全性。方法选取我院自2015年6月—2017年6月收治的无痛人流孕妇87例作为研究对象。其中,对照组采取芬太尼联合丙泊酚麻醉;观察组采取地佐辛联合丙泊酚麻醉;对比两组不同时间点的血流动力学、麻醉效果及安全性。结果两组麻醉前、注药后2 min和苏醒时的血流动力学对比,差异无统计学意义(P>0.05);两组诱导时间、苏醒时间、体动次数对比,差异均不具有统计学意义(P>0.05),但观察组苏醒后1 h的VAS评分低于对照组,不良反应发生率小于对照组,差异具有统计学意义(P<0.05)。结论地佐辛联合丙泊酚用于无痛人流的镇痛效果显著、满意,安全性高。

Objective To analyze the effect and safety of diazepam combined with propofol for painless flow. Methods 87 cases of painless induced abortion in our hospital from June 2015 to June 2017 were selected as the study object. The control group was treated with fentanyl combined with propofol anesthesia; The observation group adopted dezocine combined with propofol anesthesia; The hemodynamics, anesthetic effect and safety of the two groups were compared at different time points. Results There was no significant difference in the hemodynamics between the two groups before and after anesthesia （P〉0.05）. There was no significant difference in the induction time, awakening time and physical activity between the two groups （P〉0.05）. The VAS score of 1 h after awakening was lower than that of the control group, the incidence of adverse reactions was less than that of the control group, the difference was statistically significant （P〈0.05）. Conclusion Diazoxyn combined with propofol for analgesic effect of painless flow is satisfactory, satisfactory and safe, and it is worth studying.