绝经妇女取IUD阿芬太尼复合丙泊酚对宫颈软化、取器效果影响

Effect of alfentanil combined with propofol used in intrauterine device removal of postmenopausal women on their cervical softening and their success IUD removal

目的:探讨阿芬太尼复合丙泊酚用于绝经妇女取宫内节育器术对宫颈软化程度、取器成功率的影响.方法:将2021年1月-2023年3月在本院妇科要求取器的100例绝经妇女随机分成两组各50例,分别予以芬太尼复合丙泊酚麻醉(芬太尼组)或阿芬太尼复合丙泊酚麻醉(阿芬太尼组).观察两组生命体征变化、应激反应、宫颈软化程度、取器成功率以及并发症(疼痛、子宫出血、子宫内膜损伤、感染).结果:术中、术毕即刻的平均动脉压、心率两组均降低但阿芬太尼组高于芬太尼组,术后皮质醇、去甲肾上腺素两组均升高但阿芬太尼组低于芬太尼组;阿芬太尼组宫颈完全软化率(90.0%)高于芬太尼组(74.0%),取器成功率(100.0%)高于芬太尼组(92.0%),并发症发生率(2.0%)低于芬太尼组(14.0%)(均P<0.05).结论:阿芬太尼复合丙泊酚应用于绝经妇女取器术效果较好,可稳定受术女性术中生命体征,减轻应激反应,改善宫颈软化程度,提高取器成功率,减少并发症.

Objective:To investigate the effect of alfentanil combined with propofol used in intrauterine dcvicc(IUD)removal of postmenopausal women on the degree of their cervical softening and the success rate of their.Method:100 postmenopausal women who wanted IUD removal were randomly divided into group A and group B fro mi January 2021 to March 2023.50 women in group A received alfentanil combined with propofol for anesthesia during surgery,while 50 women in group B received fentanyl combined with propofol for anesthesia.The changes of vital signs,the stress response,the degree of cervical softening,the success rate of IUD removal,and the complications,such as pain,uterine bleeding,endometrial damage,and infection,of the women in both groups were observed.Results:The average arterial pressure and decreasing heart rate of the women in both groups during surgery and immediately after surgery had decreased significantly,and which of the women in group A were significantly higher than those of the women in group B.The levels of postoperative cortisol and norepinephrine increased of the women in both groups had increased significantly,and which of the women in group A were lower significantly than those of the women in group B.The rate of cervical complete softcning(90.0%)of the women in group A was significantly higher than that(74.0%)of the women in group B,the success ratc(100.0%)of IUD removal of the women in group A was significantly higher than that(92.0%)of the women in group B,and the incidence of complications(2.0%)of the women in group A was significantly lower than that(14.0%)of the women in group B(all P<0.05).Conclusion:Alfentanil combined with propofol used in IUD removal of the postmenopausal women has good effect,which can stabilize the vital signs,reduce the stress reactions,improve the cervical softening degree,increase the success rate of IUD removal,and reduce the complications of the women.