摘要
目的研究和观察右美托嘧啶复合丙泊酚及丙泊酚静脉麻醉在无痛人流中的应用效果。方法选择无痛人流患者100例。随机均分为丙泊酚组(P组50例)和丙泊酚加右美托嘧啶组(D组50例)。观察并记录手术前(T0)诱导后(T1)扩宫时(T2)清除胚胎时(T3)手术结束时(T4)的MAP,HR,SpO2。记录丙泊酚的诱导时间,手术时间,清醒时间,有无肢体运动,有无呼吸暂停及苏醒后患者对镇静镇痛的评价及有无术后宫缩痛,并对数据进行统计学分析。结果 D组丙泊酚诱导时间明显短于P组(P<0.05)。结论右美托嘧啶复合丙泊酚静脉麻醉既能保证手术安全顺利的实施,又能增加患者的满意度,血流动力学稳定,是无痛人流手术较为理想的麻醉方式。
Objective Research and observation of application results of dexmedetomidine plus propofol and propofol intravenous anesthesia in painless artificial abortion. Method Select 100 patients of painless artificial abortion. We randomly divide into propofol group （P group, n=50） and propofol plus dexmedetomidine group（D group, n=50）. Observe and record the MAP, HR, SpO2, Ramsay pain score of before operation （T0）and after induction （T1）and expanding Palace （T2）and removal of the embryo（T3）and at the end of operation （T4）. Record propofol induction time,operative time, awake time, the presence or absence of limb movement, whether apnea or not and the evaluation of patients who regained consciousness after Sedation and Analgesia and the presence of uterine contraction pain. And statistical analysis the data. Result Propofol induction time of Group D is significantly shorter than the P group（P〈0.05）.Conclusion Dexmedetomidine composite propofol intravenous anesthesia not only can guarantee the safe and smooth implementation of the surgery, but also increase patient satisfaction, and thermodynamically stable, so it is an ideal anesthetic of painless artificial abortion surgery.
出处
《中国医药指南》
2013年第33期109-110,共2页
Guide of China Medicine
关键词
无痛人流
右美托嘧啶
丙泊酚
静脉麻醉
Painless
Artificial abortion Dexmedetomidine
Propofol
Intravenous anesthesia
