丙泊酚复合瑞芬太尼用于无痛人流术的麻醉效 果

目的 观察丙泊酚复合瑞芬太尼与丙泊酚复合芬太尼用于无痛人流术的麻醉效果,探讨合理安全的麻醉方法.方法 选择择期接受无痛人流术的门诊患者80例,ASA Ⅰ或Ⅱ级,将其按随机数字表法分为丙泊酚复合瑞芬太尼组（观察组）、丙泊酚复合芬太尼组（对照组）,每组40例.记录注药前（T0）、注药结束时（T1）、手术开始时（T2）、手术开始后l min（T3）、苏醒时（T4）、离室前（T5）各时点的SBP、DBP、MAP、HR、Sp02,及复合麻药总量、麻醉苏醒时间、离室时间及麻醉后恶心呕吐、嗜睡发生率等.结果 2组各时点的SBP、DBP、MAP、HR、SpO2差异无统计学意义（均P＞0.05）.观察组较对照组复合麻药总量少、麻醉苏醒时间短、离室时间短,恶心呕吐、嗜睡发生率低（均P＜0.05）.结论 丙泊酚复合瑞芬太尼用于无痛人流手术,患者麻醉苏醒时间短,离室时间短,麻醉苏醒后呕吐、恶心反应明显减少.

Anesthesia with Propofol and Remifentanil for Painless Induced Abortion

Objective To observe the efficacy of anesthesia with propofol combined with remifentanil or fentanyl for painless induced abortion, and to investigate the reasonable and safe method of anesthesia. Methods Eighty ASA Ⅰ or Ⅱ clinic patients scheduled for elective painless abortion surgery were randomly assigned to receive anesthesia with propofol combined with either remifentanil （observation group, n =40） or fentanyl （control group, n =40）.Systolic blood pressure （SBP）, diastolic blood pressure （DBP）, mean arterial pressure （MAP）, heart rate （HR）and oxygen saturation （SpO2） were recorded before anesthetic induction （T0）,at the end of anesthesia administration （T1）,at the beginning of operation （T2）, 1 minute after the beginning of operation （T3）, at recovery （T4） and before leaving the operating room（T5）.In addition,the total amount of anesthetics,time to recovery from anesthesia,time to leaving the operating room, and incidences of nausea,vomiting and drowsiness were recorded in all patients.Results There were no significant differences in SBP,DBP,MAP, HR and SpO2 among different time points between the two groups（all P〉0.05）.Compared with control group, the total amount of anesthetics, time to recovery from anesthesia, time to leaving the operating room, and incidences of nausea, vomiting and drowsiness significantly decreased in observation group （all P〈0.05）. Conclusion The anesthesia with propofol and remifentanil can shorten the time to recovery from anesthesia and time to leaving the operating room, and reduce the incidences of nausea and vomiting in painless artificial abortion.