舒芬太尼对无痛人工流产者麻醉效果及其血流动力学的影响

目的]探讨舒芬太尼对无痛人工流产麻醉效果、宫缩疼痛程度及血流动力学的影响.方法]本院实施人工流产手术的140例患者,随机分为舒芬太尼组(A组)和芬太尼组(B组),各80例,比较两组的麻醉效果、麻醉前(T1)、麻醉后2 min(T2)、扩宫时(T3)、术毕(T4)时刻的平均动脉压(MAP)、心率(HR)、脉搏血氧饱和度(SpO2)、呼吸频率(RR)的水平及术后宫缩疼痛程度的变化.结果]T1时刻,两组患者的MAP、HR、SpO2、RR监测值相比较差异均无显著性(P＞0.05);T2、T3时刻,A组患者的MAP、HR、SpO2、RR监测值均高于B组(P＜0.05);A组患者术中麻醉效果Ⅰ级比例为81.25％、明显高于B组67.50％,且两组比较差异有显著性(P＜0.05);术后各时间点,A组患者宫缩VAS评分均低于B组(P＜0.05),术后5 min A组的Ramsay评分优于B组(P＜0.05).结论]舒芬太尼应用于无痛人工流产具有麻醉效果好、对患者血流动力学影响小、术后镇静镇痛效果好的特点.

Effect of Sufentanil on Anesthesia of Painless Artificial Abortion and Hemodynamics

Objective]To investigate the effect of sufentanil on anesthesia of painless artificial abortion,the degree of uterine pain and hemodynamics.Methods]One hundred and forty cases of artificial abortion were randomly divided into sufentanil group (group A) and fentanyl group (group B),each with 80 cases;the anesthetic effect of the two groups,the mean arterial pressure (MAP),heart rate(HR),arterial blood pressure saturation (SpO2) and respiratory rate (RR) before anesthesia,after anesthesia (T1),2min (T2),expanding Palace (T3),surgery (T4) and postoperative changes of uterine pain were compared.Results]The monitoring values of MAP,HR,SpO2,RRv of the two groups of patients at T1 were not significantly different (P ＞0.05);The MAP,HR,SpO2,RR values of group A at T1 and T2 were higher than those of group B (P ＜0.05);In group A,the effect of anesthesia was 81.25％,which was significantly higher than that in group B (67.50％),and the difference between the two groups was significant (P ＜0.05);At each time point after operation,the VAS scores of the patients in the group A were lower than those in the group B (P ＜0.05),and the Ramsay score 5min post operation of the group A was better than that of the group B (P ＜0.05).Conclusion]The application of sufentanil in painless artificial abortion has the advantages of good anesthetic effect,little influence on hemodynamics of patients,and good sedative and analgesic effect.