丙泊酚单用和联用瑞芬太尼在无痛人工流产术中的疗效比较

丙泊酚单用和联用瑞芬太尼在无痛人工流产术中的疗效比

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张子璞

【期刊名称】《中国实用医刊》 【年(卷),期】2012(039)009

【摘要】目的 比较丙泊酚单用和联用瑞芬太尼用于人工流产术的效果.方法 选择行人工流产术的60例患者并随机分为两组,每组30例.A组:注射利多卡因40 mg后30 s静脉注射丙泊酚2mg/kg；B组:注射瑞芬太尼1 μg/kg后30 s内静脉注射丙泊酚1.5 mg/kg.手术中根据体动情况酌情追加丙泊酚,每次30 ～ 50 mg.观察两组患者苏醒时间、术毕等待苏醒时间、注射痛、术中体动次数和程度、丙泊酚用量、需追加丙泊酚的例数、术毕镇痛效果、心率(HR)、平均动脉压(MAP)的变化等.结果B组丙泊酚用量少于A组(P＜0.01),B组需追加丙泊酚的例数少于A组(P＜0.05),B组术毕的等待苏醒时间比A组短(P＜0.01),B组的注射痛明显低于A组(P＜0.01).结论 人工流产术时,丙泊酚伍用瑞芬太尼的效果更佳.%Objective To compare the therapeutic effects of single propofol and propofol combined with remifentanil on patients with painless abortion.Methods Sixty women underwent selected painless abortion were randomly divided into two groups,with 30 cases in each group.Patients in group A were given 2％ lidocaine 40 mg firstly,then intravenously injected with propofol 2 mg/kg 30 s later.Patients in group B were given remifentanil 1 μg/kg,then intravenously injected with propofol 1.5 mg/kgalter 30 s.Propofol was added in accordance with the