本文關鍵詞：地佐辛復合丙泊酚靜脈麻醉應用于無痛人流麻醉的臨床觀察　出處：《臨床合理用藥雜志》2016年29期 　論文類型：期刊論文

  更多相關文章： 地佐辛 丙泊酚 芬太尼 無痛人流 麻醉

【摘要】：目的觀察地佐辛復合丙泊酚靜脈麻醉應用于無痛人流麻醉的效果,為臨床應用提供依據(jù)。方法選取醫(yī)院收治的早孕婦女64例,均自愿接受無痛人流手術(shù),按入院先后順序分為觀察組和對照組,每組32例。觀察組給予地佐辛復合丙泊酚靜脈麻醉,對照組給予芬太尼復合丙泊酚靜脈麻醉,比較2組患者圍術(shù)期生命體征變化、術(shù)中麻醉效果、不良反應及術(shù)后宮縮痛發(fā)生情況。結(jié)果 2組術(shù)前平均動脈壓(MAP)、心率(HR)與術(shù)中、術(shù)后比較差異均有統(tǒng)計學意義(P0.05);2組圍術(shù)期各血流動力學指標及術(shù)中麻醉效果組間比較差異無統(tǒng)計學意義(P0.05);觀察組術(shù)中呼吸抑制發(fā)生率明顯低于對照組(P0.01);觀察組術(shù)后子宮收縮痛發(fā)生率低于對照組(P0.05)。結(jié)論地佐辛復合丙泊酚靜脈麻醉應用于無痛人流麻醉鎮(zhèn)痛效果好,并發(fā)癥少,是一種較理想的無痛人流麻醉方法,具有推廣應用價值。
[Abstract]:Objective to observe the effect of intravenous dizosin combined with propofol on painless artificial abortion. Methods Sixty-four women with early pregnancy admitted in our hospital received painless abortion surgery voluntarily. According to the order of admission, the observation group and the control group were divided into observation group and control group with 32 cases in each group. The observation group was given dizosin combined with propofol intravenous anesthesia, the control group was given fentanyl combined with propofol intravenous anesthesia. The changes of perioperative vital signs, anesthetic effect, adverse reactions and postoperative uterine contractions were compared between the two groups. Results the mean arterial pressure (map) and heart rate (HRR) were compared between the two groups. Postoperative differences were statistically significant (P 0.05). There was no significant difference in hemodynamic indexes and anesthetic effect between the two groups during perioperative period (P 0.05). The incidence of respiratory depression in the observation group was significantly lower than that in the control group (P 0.01). The incidence of uterine contraction pain in the observation group was lower than that in the control group (P 0.05). Conclusion Dizoxin combined with propofol intravenous anesthesia has good analgesic effect and fewer complications. It is an ideal painless artificial flow anesthesia method and has the value of popularization and application.
【作者單位】： 福建省寧德市中醫(yī)院麻醉科;
【分類號】：R169.42
【正文快照】： 人工流產(chǎn)術(shù)是一種因意外妊娠、疾病或優(yōu)生等原因在妊娠10周內(nèi)終止妊娠的手術(shù)方法,傳統(tǒng)人流術(shù)不僅給受術(shù)者帶來極大痛苦,還會出現(xiàn)較多并發(fā)癥,影響身心健康[1]。芬太尼復合丙泊酚已廣泛應用于無痛人流手術(shù)的麻醉,但有可能引起呼吸抑制、術(shù)后頭暈、惡心嘔吐等不良反應。地佐辛是

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