三种无痛人工流产静脉麻醉的临床观察(1)
http://www.100md.com
2010年11月5日
 |
| 第1页 |
参见附件(1300KB，2页)。
[摘要] 目的：对3种不同的镇痛方法应用于人工流产术的临床效果进行对比分析。方法：将300例早期妊娠要求行无痛人工流产的孕妇随机分为3组：A组为丙泊酚静脉注射组，B组为舒芬太尼+丙泊酚组，C组为布托啡诺+丙泊酚组。观察3组的静脉注射痛、宫预松弛程度、头昏、呕吐、术中出血量、术后腹痛、体动及丙泊酚用量等。结果：B、C组宫颈松弛程度、术中体动与A组比较差异有统计学意义(P<0.05)，B、C组静脉注射痛、术后腹痛及丙泊酚用量与A组比较差异有统计学意义(P<0.01)；术后清醒时间、术后出血量比较差异无统计学意义(P>0.05)，B组头昏发生率较A、C组差异有统计学意义(P<0.01)。结论：布托啡诺复合丙泊酚应用于无痛人工流产效果满意，不良反应少，值得在基层医院推广和应用。
[关键词] 异丙酚；布托啡诺；舒芬太尼；人工流产；麻醉
[中图分类号] R714.21 [文献标识码] B[文章编号] 1674-4721(2010)11(a)-067-02
The clinical observation of three painless artificial abortionsintravenous anesthesia
WU Wei, YU Haihui
(Department of Anesthesia, Shaoshan Hospital of Xiangtan City, Hunan Province, Xiangtan 411300, China)
[Abstract] Objective: To three different methods of analgesia used in the clinical effect of induced abortion were compared. Methods: 300 cases of early pregnancy painless abortion vibration requirements of pregnant women were randomly divided into 3 groups: A group for the intravenous propofol group, B group sufentanil+propofol group, C group bhutto brown snow+propofol group. Observed 3 groups of intravenous pain, house pre-stress relaxation, dizziness, vomiting, blood loss, postoperative pain, moving, and the dosage of propofol. Results: B, C group the degree of cervical relaxation, body movement in patients compared with the A group was significantly (P<0.05), B, C group intravenous injection pain, postoperative pain and the dose of propofol compared with A difference statistically significant (P<0.01); postoperative recovery time, postoperative bleeding difference was not statistically significant (P>0.05), B group the incidence of dizziness than A, C group was significantly (P<0.01). Conclusion: Butorphanol and propofol for analgesia of satisfactory flow, adverse reactions, it is in promotion and application of primary hospital.
[Key words] Propofol; Butorphanol; Sufentanil; Abortion; Anesthesia
人工流产术作为避孕失败后节制生育的补救方法，安全而有效，但受术者都有不同程度的下腹疼痛、头昏等不良反应，这些不良反应由此引发的生理和心理上的不适，给患者带来了很大的痛苦。为解决人工流产术中的这些问题，近年来各地医院妇产科采用了多种麻醉镇痛方法。本文对比研究妇产科人工流产术中应用异丙酚静脉麻醉组、舒芬太尼+丙泊酚组、布托啡诺+丙泊酚组3种麻醉镇痛方法，现将临床效果作分析比较，报道如下：
1 资料与方法
1.1 一般资料
选择自愿行无痛人工流产术的妇女300例，ASAⅠ～Ⅱ级，年龄18～40岁，月经周期规则，孕龄45～63 d，孕1～3次，产0次。术前均以尿HCG、妇检及B超确诊，无人工流产手术禁忌证，既往无心血管病史，无哮喘、支气管炎等呼吸道疾病。将以上病例随机分为3组：A组100例 ......
您现在查看是摘要介绍页，详见PDF附件(1300KB，2页)。