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咪唑安定联合丙泊酚及芬太尼用于无痛人工流产手术的临床观察
引用本文:曹晓芳. 咪唑安定联合丙泊酚及芬太尼用于无痛人工流产手术的临床观察[J]. 吉林医学, 2011, 0(11): 2095-2097
作者姓名:曹晓芳
作者单位:江苏省常熟市第五人民医院麻醉科;
摘    要:目的:探讨咪唑安定联合丙泊酚及芬太尼应用于无痛人工流产手术的临床效果。方法:自愿终止妊娠且无手术禁忌证的孕患者120例随机分为F组和M组。F组实施丙泊酚复合芬太尼麻醉,M组实施咪唑安定联合丙泊酚及芬太尼麻醉。结果:两组患者意识消失时的MAP、HR、SpO2低于麻醉前(P<0.05);F组患者意识消失时MAP、SpO2值明显低于M组(P<0.05),提示F组患者出现低血压和呼吸抑制;两组苏醒时间差异无统计学意义;M组丙泊酚总用量明显少于F组(P<0.05);M组术后躁动、恶心呕吐及头晕等不良反应明显少于F组,差异有统计学意义(P<0.05)。结论:咪唑安定联合丙泊酚及芬太尼静脉麻醉效果确切,呼吸抑制、低血压、术后恶心呕吐等不良反应少,可作为无痛人工流产手术较理想的选择。

关 键 词:无痛人工流产术  咪唑安定  芬太尼  丙泊酚

Clinical observations on painless induced abortion using Midazolam combined with propofol and fentanyl
CAO Xiao-fang. Clinical observations on painless induced abortion using Midazolam combined with propofol and fentanyl[J]. Jilin Medical Journal, 2011, 0(11): 2095-2097
Authors:CAO Xiao-fang
Affiliation:CAO Xiao-fang(Department of Anesthesiology,The Fifth People Hospital of Changshu,Changshu Jiangsu 215500,China)
Abstract:Objective To evaluate the clinical effects of using Midazolam combined with Propofol and Fentanyl for the painless induced abortion.Method 120 pregnant patients without surgical contraindications who requested painless abortion were randomized into two groups,F group and M group.60 patients in F group were performed with propofol and fentanyl,while 60 patients in M group were performed with Midazolam combined with propofol and fentanyl.Results When the patients lost their consciousness,the values of MAP,HR ...
Keywords:Painless induced abortion  Midazolam  Propofol  Fentanyl  
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