摘要
目的探讨静脉复合麻醉在无痛人工流产术中的应用效果。方法选取2016年11月6日~2018年2月14日福建省莆田市第一医院收治的124例无痛人工流产术患者为研究对象,按照就诊顺序分为观察组和对照组,每组62例。对照组给予丙泊酚经静脉注射、观察组给予丙泊酚、芬太尼及阿托品行静脉复合麻醉。比较两组患者的麻醉诱导时间、清醒时间、出血时间、心率、血氧饱和度、二氧化碳分压及并发症发生率。结果观察组患者的麻醉诱导时间为(20.32±1.25)min长于对照组,清醒时间[(15.32±1.32)min]及出血时间[(5.10±0.36)d]短于对照组,差异均有统计学意义(P<0.05)。观察组患者的心率[(79.25±0.36)次/min]和二氧化碳分压[(40.01±0.45)mm Hg]低于对照组,血氧饱和度[(90.36±1.32)%]高于对照组,差异均有统计学意义(P<0.05)。观察组患者的并发症总发生率(1.61%)低于对照组的16.13%(P<0.05)。结论丙泊酚、芬太尼与阿托品行静脉复合麻醉应用于无痛人工流产术中具有较高的临床价值,能够在发挥显著镇痛效果的基础上降低并发症发生率,值得应用及推广。
Objective To explore the application effect of intravenous combined anesthesia in painless induced abortion. Methods A total of 124 patients with painless induced abortion in the First Hospital of Putian City, Fujian Province from November 6, 2016 to February 14, 2018 were selected as the research objects, they were divided into the observation group and control group according to the order of treatment, with 62 cases in each group. The control group was given intravenous Propofol, while the observation group was given Propofol, Fentanyl and Atropine intravenous anesthesia. The anesthesia induction time, awake time, bleeding time, heart rate, oxygen saturation, partial pressure of carbon dioxide and the incidence of complications were compared in patients between the two groups. Results The induction time of patients in the observation group（[20.32±1.25] min） was longer than that in the control group, the awake time（[15.32±1.32] min） and bleeding time（[5.10±0.36] d） were shorter than those in the control group, and the differences were statistically significant（P〈0.05）. The heart rate（[79.25±0.36] beats/min） and partial pressure of carbon dioxide（[40.01±0.45]mm Hg） of patients in observation group were lower than those in control group, the blood oxygen saturation（[90.36±1.32]%） were higher than those of the control group, and the differences were statistically significant（P〈0.05）. The total incidence of complications in observation group was 1.61%, which was lower than that in control group（16.13%）（P〈0.05）. Conclusion Propofol, Fentanyl and Atropine combined intravenous anesthesia in painless induced abortion has high clinical value, can play a significant analgesic effect on the basis of reducing the incidence of complications, and it is worthy of application and promotion.
作者
郑秋武
刘莉莉
柯品辉
ZHENG Qiu-wu;LIU Li-li;KE Pin-hui(Department of Anesthesiology,the First Hospital of Putian City,Fujian province,Putian 351100,China)
出处
《中国当代医药》
2018年第26期131-133,共3页
China Modern Medicine
关键词
无痛人工流产术
静脉复合麻醉
应用效果
Painless induced abortion
Intravenous combined anesthesia
Application effect
