摘要
目的 观察芬太尼、舒芬太尼、瑞芬太尼应用于人工流产术的效果及对患者呼吸的影响.方法 选择本院于2014年1月～2014年7月收治行人工流产术患者150例作为研究对象,ASA Ⅰ-Ⅱ级,随机分为三组,A组给予丙泊酚复合芬太尼,B组给予丙泊酚复合舒芬太尼,C组给予丙泊酚复合瑞芬太尼,比较三组麻醉效果及对呼吸影响差异.结果 三组丙泊酚总量无统计学差异（P＞0.05）.A组、B组苏醒时间分别为（3.8±0.6）min、（3.7±0.7）min,均长于C组（P＜0.05）.诱导后A组、B组SPO2分别为（95.1±1.5）％、（95.7±1.8）％,均高于C组（均P＜0.05）.三组不良反应比较均无统计学差异（P＞0.05）.结论 芬太尼、舒芬太尼、瑞芬太尼应用于人工流产术均可以取得较佳效果,芬太尼、舒芬太尼对患者呼吸影响较小,具有重要的临床价值。
Objective To observe the effect of fentanyl, sufentanil, remifentanil used in artificial abortion opera- tion and influence on respiration. Methods 150 artificial abortion patients were selected as the research objects, ASA Ⅰ- Ⅱ grade. They were randomly divided into three groups. A group was given propoIol combined with fentanyl, B group was given propofol combined with sufentanil and group C were treated with propofol and remifentanil. The anesthesia effect and respiratory effects were observed. Results There was no significant difference in the total amount of propofol between the three groups （P〉0.05）. Group A, group B＇recovery time were （3.8±0.6） rain, （3.7±0.7） rain and were longer than those of group C（P〈0.05）. After the induction group A, group B ＂SPOz respectively were （95.1 ± 1.5）%, （95.7±1.8） % and were higher than those of group C （P〈0.05）. Adverse reactions of three groups had no significant difference （P〉0.05）. Conclusion Fentanyl, sufentanil, remifentanil used in artificial abortion can achieve good anesthesia effect. Fentanyl, sufentanil has little effect on the respiratory have important value.
出处
《西部医学》
2015年第5期693-695,共3页
Medical Journal of West China
基金
成都市科技攻关项目(20112PE1-2)
关键词
人工流产术
芬太尼
舒芬太尼
瑞芬太尼
Artificial abortion operation
Fentanyl
Sufentanil
Remifentanil
