丙泊酚配伍芬太尼、氧化亚氮用于人工流产术麻醉的对比观察

    Comparison for the effects of propofol combined fentanyl and nitrous oxide during induced abortion anesthesia

    • 摘要: 目的: 对比观察丙泊酚联用芬太尼、氧化亚氮用于人工流产术的麻醉效果和安全性。方法: ASAI~Ⅱ级患者40例,随机分为丙泊酚加芬太尼组(A组)和丙泊酚加氧化亚氮组(B组),每组20例。A组:先静脉注射芬太尼2 μg/kg,2 min后静脉注射丙泊酚1.0 mg/kg,术中必要时追加丙泊酚;B组:首先用面罩吸氧去氮,然后吸入2:1(1 L/min)氧化亚氮:氧气,3 min后静脉注射丙泊酚1.0 mg/kg。观察两组镇痛效果、丙泊酚用量、术前及术中均数动脉压(MAP)、HR及SpO2、苏醒时间。结果: 术后两组患者对镇痛效果均表示高度满意。两组丙泊酚用量差异无显著性(P>0.05),苏醒时间A组长于B组(P<0.01)。A组术中MAP、HR和SPO2均较给药前显著下降(P<0.01)。B组术中MAP和HR较给药前均无明显变化(P>0.05)。结论: 两组用于人工流产麻醉效果俱佳,丙泊酚伍用氧化亚氮安全性更好。

       

      Abstract: Objective: To compare the effect and safty of propofol combined fentanyl and nitrous oxide during induced abortion anesthesia.Methods: Fourty induced abortion patients were randomly divided intotwo groups.Group A was administrated propofol 1 mg/kg after fentanyl 2 μg/kg was administrated(n=20).Propofol 0.5 mg/kg was added according orptrating.Group B was administrated propofol 1 mg/kg 3 min after N2O:O2 2:1(12 L/min) was absorbtied.Propofol was added according to need.Revovery time,mean arterial pressure(MAP),HR,SpO2,the dosage of propofol and the effects of two groups were recorded.Results: Two guoups patients were satisfactied at effects.There were no significant defferences in the dosage of propofol between group A and B.The recovery time of guoup A was longer than group B(P<0.01).The MAP,HR and SpO2 of group A after anesthesia significantly lowed(P<0.01).There were no significantly differences after anesthesia in the MAP,HR and SpO2 of group B(P>0.05).Conclusions: Two groups patients were satisfied with effects of anthesia.Group B have more safety and group A in induced abortion.

       

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