丙泊酚复合芬太尼在人工流产中的疗效观察

目的　探讨丙泊酚复合芬太尼在人工流产中的疗效。方法　对 6 6例早孕妇女 ,术前静脉注射芬太尼 1μg/kg ,丙泊酚 2mg/kg。观察麻醉效果、宫口松弛、人工流产综合征 (RAAS)发生率及出血量。并分别记录推药前、入睡中、手术时、清醒后BP、P、SPO2 等参数。结果　丙泊酚复合芬太尼用于人工流产术 ,起效快 ,镇痛效果明显 ,有效率达 10 0 % ,无一例发生RAAS。与对照组比较 ,差异有显著性 (P <0 0 1)。苏醒早 ,血压、心率无明显变化。出血量与对照组比较差异无显著性。结论　丙泊酚复合芬太尼静脉麻醉是人工流产术中的适宜麻醉方法之一 ,可达到无痛人工流产的良好效果。

Curative effects of kabi fresenius combined with fentanyl in artifical abortion

Objective To investigate curative effects of Kabi Fresenius combined with Fentanyl in artifical abortion. Methods Sixty six cases of early pregnant women were intravenously injected with Fentanyl (1 ug/kg) and Kabi Fresenius (2 mg/kg), to observe effects of anesthesia, cervical laxing, occurrence of RAAS, and capacity of hemorrhage, with records of BP, P and SPO 2 parameters before intravenous injection, in sleep, during and after operation. Results Kabi Fresenius combined with Fentanyl was an effective and quick way in pain relieve during the process of artificial abortion.The efficacy reached 100%.None of cases happened RAAS, with significant difference when compared with control group ( P <0 01).The subjects recovered consciousness earlier, with on obvious changes of their blood pressures and pulses.Capacity of hemorrhage was similar to control group. Conclusions Kabi Fresenius combined with Fentanyl is an optimized anesthesia for artificial abortion, with effective pain relieve effect.