对应手术时点小剂量丙泊酚在无痛人流术中的应用

目的 探讨对应手术时点小剂量丙泊酚在无痛人流术中的有效性和安全性.方法 门诊全麻下行无痛人流术的早孕患者90例,ASA Ⅰ或Ⅱ级,随机分为A、B、C三组.分别在患者抬臀铺入无菌臀巾时（T1）、置入窥器即刻（T2）、钳夹宫颈即刻（T3）时点,推注不同剂量丙泊酚,观察记录麻醉效果相关指标.结果 A组丙泊酚用量与B、C组相比显著减少（P＜0.01）;A组术毕到唤醒睁眼的时间与B、C组相比明显缩短,差异有统计学意义（P＜0.01）（表1）.手术过程中,B、C组MAP、HR、SpO2前后变化明显,而A组无明显变化,两组间比较差异有统计学意义（P＜0.01）.结论 对应手术时点小剂量推注丙泊酚在无痛人流术中有效,苏醒更快,且相关不良反应更少发生.

The application of low-dose propofol by corresponding surgery point in induced abortion surgery

Objective To investigate the efficacy and safety of low-dose propofol by corresponding surgery point in induced abortion surgery. Methods Ninety （ ASA I or Ⅱ ） patients aged 18-30 years undergoing induced abortion surgery were randomly divided into three groups ： A, B and C group. Respectively, at time of raising buttock and spreading in aseptic hip napkins （ T1 ） , to place speculum （ T2 ）, and clamp the cervix （ T3 ） , Intravenous injection of different doses of propofol were taken. Index of anesthesia related were recorded. Results Compared with group B. C, the amount of propofol was smaller （P 〈0. 01 ）, the recovery time was shorter （P 〈0. 01 ）, HR, MAP, SPO2 was statistically significant in group A （P 〈 0. 01 ） .Conclusion Low-dose propofol by corresponding surgery point can be safely used in induced abortion surgery with less adverse reaction.