丙泊酚复合小剂量芬太尼静脉麻醉用于人工流产术的临床效果观察

摘要

目的 观察丙泊酚-小剂量芬太尼静脉麻醉用于人工流产术的临床效果.方法 200例拟行人工流产术的早孕妇女,随机分为两组:丙泊酚-小剂量芬太尼静脉组(PF组)和利多卡因组(L组),各100例,分别在不同麻醉方式下实施人工流产术,比较两组临床麻醉效果及人工流产综合征发生情况.结果 L组疼痛较轻,PF组患者术中无明显疼痛感,两组镇痛总有效率比较差异有统计学意义(P＜0.05);PF组无人工流产综合征发生,L组发生3例(3%),组间比较差异有统计学意义(P＜0.05).结论 丙泊酚-小剂量芬太尼静脉麻醉用于人工流产,患者无疼痛感,苏醒快,无人工流产综合征发生.%Objective To obscrve the effect ofpropofol conbined with low dose fentanyl in elective abortion.Methods 200 early pregnancy women for elective abortion were randomly divided into two groups (n=100): group PF (propofol-low dose fentanyl group), and group L (lidocaine group). Anesthetic effects and complications were recorded. Results Analgesic effect was better in group PF than that in group L (P＜0.05), and no elective abortion syndrome was found in group PF. Conclusion Propofol combined with low dose fentanyl for elective abortion had satisfactory effects of analgesia, with fast recovery and no elective abortion syndrome.