静脉芬太尼加丙泊酚靶控镇静联合心理治疗在人工流产术中的应用(1)
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2010年9月1日
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[摘要]目的探讨一种用于人工流产术安全确切、咽喉反射存在的麻醉新方法,拓宽适应征、方便病人。方法将2009年6月至2010年4月我院门诊收治的1080例人工流产患者,随机分为3组;Ⅰ组为静脉芬太尼加丙泊酚靶控镇静联合心理治疗(430例),Ⅱ组为静脉芬太尼加丙泊酚靶控镇静(320例),Ⅲ组为丙泊酚静脉全身麻醉(330例),分别对3组麻醉效果优良率、不良反应进行评价比较。结果Ⅰ组镇静、镇痛效果安全确切,患者安静合作,咽喉反射存在,OAAS/S评分4-2分,麻醉效果优良率明显高于Ⅱ组(P<0.05),与Ⅲ组比较,无明显差异(P>0.05);对呼吸的影响(短暂呼吸抑制,血氧饱和度SPO2≤90%),Ⅰ组、Ⅱ组明显低于Ⅲ组(P<0.05);Ⅰ组、Ⅱ组术后胃肠反应明显高于Ⅲ组(P<0.05)。结论静脉芬太尼加丙泊酚靶控镇静联合心理治疗为人工流产术提供了一种确切有效、安全平稳、经济简便的镇静镇痛新方法,极大拓宽了适应征,方便了患者,完全可以与传统的全身麻醉互补,值得推广;术后胃肠反应有待于近一步探讨解决。
[关键词]芬太尼; 丙泊酚; 靶控镇静; 心理治疗; 人工流产
[中图分类号] R714.2[文献标识码]A [文章编号] 1005-0515(2010)-9-014-02
The cure method of fentanyl add propofol by vein to calmed by target control unite psychother
apy was used in induced abortion
Xu li-guo, Xue ming-xi.
(department of anesthesiology, zibo Maternal and Child Health hospital, Shandong 255029,china )
[Abstract]ObjectiveTo investigate a new method of anaesthesia which is safely , precisely and laryngeal reflex existing was used in the induced abortion. MethodsTo divided randomly the 1080 cases induced abortion patients which were cured by our hospital' out-patient clinic during 2009.6 to 2010.4 into three groups. Ⅰgroup is fentanyl add propofol by vein to calmed by target control unite psychotherapy (430 cases), Ⅱ group is fentanyl add propofol by vein to target control calm (320 cases), Ⅲ group is propofol by vein to general intravenous anesthesia (330 cases). We carried out evaluation to those three groups differently in anaesthesiaeffect and adverse effect.Results Ⅰgroup's calm and relieve pain effect is safely and precisely, patients were peaceful and laryngeal reflex existing, and OAAS/S scores were 4-2,and anaesthesia effect surpassing to Ⅱ group obviously(P<0.05), compare to Ⅲ group have no manifest difference; about the influence to breathing (transient Respiratory depression, saturation of blood oxygen SPO2≤90%),Ⅰgroup and Ⅱ group were lower than Ⅲ group obviously (P<0.05) ; in the postop stomach intestine reaction , Ⅰgroup and Ⅱ group were surpassing to Ⅲgroup obviously (P<0 ......
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