不同剂量芬太尼复合丙泊酚全麻在门诊人工流产患者中的应用

目的观察不同剂量芬太尼复合丙泊酚全麻在门诊人工流产患者中的应用。方法研究对象为165名女性患者，45例患者给予生理盐水（A组），60例患者给予芬太尼0．05mg（B组），60例患者给予芬太尼0．1mg（C组）。麻醉用丙泊酚诱导2mg／kg。记录妇产科医生对于麻醉质量的评估和丙泊酚的总用量。术后记录在恢复室对护士抱怨疼痛，对止痛药的需求以及恶心和呕吐的发生率。结果B组和C组术中的丙泊酚用量显著低于A组（P〈0．05）；C组中16名患者抱怨了一次或者更多次关于术后疼痛，7名患者要求使用镇痛药，抱怨疼痛的患者C组显著低于A组和B组（P〈0．05），但3组患者术后使用镇痛药物的例数没有差异（P〉O．05），3组患者术后发生恶心、呕吐的例数没有差异（P〉0．05）。结论全麻时复合0．1mg芬太尼是有益的，它可以减少丙泊酚的用量，降低术后疼痛的频率，而且不延长出院时间。

The Application of Different Doses of Fentanil and Propofol in Analgesic Artificial Abortion

Objective To observe the application of different doses of fentanil and propofol in analgesic artificial abor- tion. Methods Among 165 patients, 45paitients were given saline （ Group A） and 60 patients were given 0.05 mg fen- tanil （ Group B）, while the other 60 patients were given 0. 1 mg fentanil （ Group C）. Anesthesia was induced with propofol 2 mg/kg. The total volume of propofol and the evaluation of anesthesia were recorded. After surgery, the complaints of pain, demands for analgesics and the incidence rate of nausea and vomiting were monitored in recovery room. Results The total volume of propofol was significantly lower in Group B and C than that in Group A （ P 〈 0. 05 ）. 16 patients of Group C complained once or more times of postoperative pain amt 7 patients wanted to use analgesics. The complaints of pain was significantly lower in Group C than that of Group A and B （P 〈 0. 05 ）. There was no difference in the number of patients who were given analgesics among 3 groups after surgery （ P 〈 0. 05 ）. The number of patients who had nausea and vomiting was of no difference （ P 〈 0. 05 ）. Conclusion Anesthesia with 0. 1 mg fentanil used in analgesic artificial abor- tion is beneficial, which can reduce the use of propofol and alleviate postoperative pain, and meanwhile will not postpone discharge from hospital.