OBJECTIVE:To probe into the anesthesia effects of tramadol and remifentanil respectively combined with propofol in artificial abortion .METHODS: 100 healthy pregnant women undergoing artificial abortion admitted into Hanchuan People's Hospital from May 2016 to Jun.2017 were extracted to be divided into observation group and control group via the random number table , with 50 cases in each .The observation group was given tramadol combined with propofol , while the control group received remifentanil combined with propofol .The postoperative visual analgesia score( VAS) , dosage of propofol , postoperative awakening time , leaving time and incidence of adverse drug reactions in two groups were observed , the preoperative , intraoperative and postoperative mean arterial pressure , heart rate and oxygen saturation of two groups were compared .RESULTS:There was no statistical significance between two groups in dosage of propofol , and leaving time ( P>0.05 ) .The postoperative VAS of observation group was significantly lower than that of control group , yet the postoperative awakening time was shorter than that of the control group , with statistically significant difference (P0.05);观察组患者术后视觉模拟评分明显低于对照组,术后苏醒时间明显短于对照组,差异均有统计学意义(P<0.05);术中及手术结束时,观察组患者平均动脉压和心率明显高于对照组,差异均有统计学意义(P<0.05);观察组患者不良反应发生率为6.00％(3/50),明显低于对照组的20.00％(10/50),差异有统计学意义(P<0.05).结论:曲马多联合丙泊酚用于人工流产术的麻醉效果显著,镇痛作用明显,患者生命体征平稳、术后苏醒迅速,且不良反应少.
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