丙泊酚配合小剂量舒芬太尼在人工流产术麻醉中的应用

目的探讨丙泊酚配合小剂量舒芬太尼在人工流产术麻醉中的作用。方法研究组189例，采用丙泊酚联合小剂量舒芬太尼进行麻醉和镇痛处理；对照组189例，单纯采用丙泊酚麻醉诱导，分别记录两组患者临床麻醉起效时间、手术时间、意识清醒时间及镇痛分级。结果研究组患者麻醉起效时间为（1．2±0．3）min，意识清醒时间为（6．7±1．3）min，均明显短于对照组[（1．9±0．6）、（11．9±2．7）min]（P〈0．05）；两组患者手术时间无显著差异（P〉0．05）；研究组患者的无痛率达100％，远远高于对照组85．19％（P〈0．05）。结论将丙泊酚联合小剂量舒芬太尼应用于人工流产手术中是一种较为理想的麻醉镇痛方法，能够缩短麻醉起效时间和患者意识清醒时间，同时对于有效镇痛具有积极作用。

Clinical Applications of Propofol and Small Dose Sufentanil in Abortion Anesthesia

Objective To discuss the effects of propofol and small dose sufentanil in abortion anesthesia.Methods One hundred and eightynine cases of study group were treated by propofol and sufentanil for anesthesia and analgesia, and 189 cases of control group were treated by only prepofol.To record the clinical anesthesia onset time, operation time, conscious time and pain rating. Results The anesthesia onset time （ 1.2 ± 0.3 ） and conscious time （ 6.7 ± 1.3 ） in study group were significantly shorter than the control group [ （ 1.9 ± 0.6 ）, （ 11.9 ± 2.7 ） mini （ P 〈 0.05 ）. The operation time had no significantly difference between the two groups （ P 〉 0.05 ）. The pain-free rate of study group （ 100% ） was significantly higher than control group （ 85.19% ） （P 〈 0.05 ）. Conclusion The anesthesia and analgesia methods combined with propofol and sufentanil in abortion was an ideal method. It could shorten the anesthesia onset time and conscious time, and had positive effects for analgesia.