本文選題：流產(chǎn)　切入點(diǎn)：人工　出處：《淮海醫(yī)藥》2016年04期

【摘要】：目的:探討人工流產(chǎn)麻醉中不同劑量地佐辛復(fù)合丙泊酚的應(yīng)用效果。方法:將90例人工流產(chǎn)患者隨機(jī)分成3組,每組30例。于麻醉誘導(dǎo)期A組、B組、C組分別靜脈推注0.05 mg/kg,0.075 mg/kg,0.10 mg/kg地佐辛,再于10 min后靜推丙泊酚。比較3組麻醉效果。結(jié)果:3組T_1時(shí)點(diǎn)MAP,HR均有明顯下降,C組下降最為明顯(P0.01),A組T_2時(shí)點(diǎn)相對(duì)于T_0有顯著上升,經(jīng)追加丙泊酚后下降(P0.01);A組蘇醒時(shí)間明顯長(zhǎng)于B組及C組,C組又明顯長(zhǎng)于B組(P0.01),A組丙泊酚用量明顯大于B組及C組(P0.01);A組局部注射痛發(fā)生數(shù)明顯多于B組、C組,C組呼吸抑制發(fā)生數(shù)明顯多于A組、B組(P0.05)。結(jié)論:在人工流產(chǎn)術(shù)中使用0.75 mg/kg地佐辛復(fù)合丙泊酚麻醉效果好,對(duì)呼吸循環(huán)抑制小。
[Abstract]:Objective: to investigate the effect of different doses of dizosin combined with propofol in artificial abortion anesthesia.Methods: 90 cases of induced abortion were randomly divided into 3 groups, 30 cases in each group.During anesthesia induction period, group A and group B were given intravenous injection of 0. 05 mg / kg of 0. 075 mg 路kg ~ (-1) 路kg ~ (-1) and 0. 10 mg/kg of dizoxin respectively, and then intravenous injection of propofol for 10 min.Anaesthesia effect was compared among 3 groups.Results the MAPHR of group C was significantly lower than that of group C, and that of group A was significantly higher than that of group T0.After adding propofol, the recovery time of group A was significantly longer than that of group B and group C, and the dosage of propofol in group A was significantly longer than that in group B and group C (P 0.01). The number of local injection pain in group A was significantly longer than that in group B and group C.The incidence of absorption inhibition was significantly higher than that of group A and B (P 0.05).Conclusion: the anesthetic effect of 0. 75 mg/kg dizosin combined with propofol in induced abortion is good and the inhibition of respiration and circulation is small.
【作者單位】： 安徽省蚌埠市第三人民醫(yī)院麻醉科;
【分類(lèi)號(hào)】：R169.42

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