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无痛人工流产术的麻醉多采用丙泊酚复合芬太尼完成手术,近年来阿片类药物舒芬太尼、瑞芬太尼逐渐地用于无痛人工流产术的麻醉。丙泊酚具有起效快、清除快、苏醒快速、恶心呕吐发生率低等适用于人工流产术等短小手术等优点,但其镇痛效果往往较弱,常常需要加用镇痛药来减少丙泊酚的用量来维持麻醉〔1〕。吉林大学第一医院麻醉科在无痛人工流产术中比较了丙泊酚复合芬太尼、舒芬太尼、瑞芬太尼的麻醉效果,报道如下。
Anesthesia for painless abortion and more use of propofol with fentanyl to complete the operation, in recent years opioid sufentanil, remifentanil gradually used for painless abortion anesthesia. Propofol has the advantages of rapid onset, rapid clearance, rapid recovery, low incidence of nausea and vomiting, short induction surgery and other advantages suitable for abortion, but its analgesic effect is often weak, often need to add analgesics to reduce C The amount of phenol to maintain anesthesia 〔1〕. Department of Anesthesiology, First Hospital of Jilin University in the painless abortion compared propofol fentanyl, sufentanil, remifentanil anesthesia, reported as follows.