【摘要】 目的 观察丙泊酚联合芬太尼在人工流产的疗效。方法 对100例早孕妇女,在常规消毒的同时,静脉注射芬太尼2ug.kg丙泊酚0.4mg.kg,观察麻醉效果、宫口松驰、人工流产综合征(PAAS)发生率及出血量。并分别记录推药前、入睡后、手术时清醒后等参数。以及苏醒情况。结果 丙泊酚联合芬太尼在应用于人工流产术,起效快,镇痛效果明显有效率达98%。与对照组比较差异有显著性宫口松驰与对照比较,有统计学差异。苏醒早、血压心率无明显变化,无一例发生人工流产综合征,(PAAS)与对照组比较有显著性差异,出血量与对照组比较无显著差异。结论 是丙泊酚联合芬太尼静脉麻醉是人工流产术中的适宜的麻醉方法之一,可达到无痛人工流产的良好效果。

    【关键词】 人工流产术 丙泊酚 芬太尼 静脉推注

    【Abstract】 Objective Propofol combined with Fentanyl in Abortion. Methods 100 cases of early pregnancy women, while the regular disinfection, intravenous fentanyl 2ug.kg propofol 0.4mg.kg, observation of anesthesia, cervix relaxation, abortion syndrome (PAAS) and the incidence of bleeding volume. And push drugs were recorded before, asleep, awake after surgery and other parameters. And wake conditions. Results of propofol combined with fentanyl in applied artificial abortion, rapid onset of analgesic effect is obvious effective rate of 98%. Compared with the control group there were significant differences in cervix relaxation compared with control, significantly different. Wake up early, no significant changes in blood pressure and heart rate, no case of abortion syndrome, (PAAS) compared with the control group there were significant differences in blood loss compared with the control group, no significant difference. Concluded that fentanyl and intravenous propofol anesthesia in induced abortion is the appropriate method of anesthesia, one can achieve good results in induced abortion. ......