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目的观察地佐辛复合丙泊酚麻醉对人流手术中宫颈扩张操作所致体动反应的抑制效果。方法选取全麻人流手术需术中进行宫颈扩张的患者加例,随机分成两组。所有患者均使用丙泊酚3mg/kg进行静脉全麻。术中进行扩张宫颈操作前两组无加任何处理。两组患者于扩张宫颈操作期间如发生体动反应,则暂停手术,观察组加用地佐辛0.1mg/kg,对照组追加丙泊酚1mg/kg后再重新开始操作。术后统计两组患者扩张宫颈操作时发生体动反应的例数。结果观察组出现体动反应患者4例,对照组5例,追加地佐辛和丙泊酚均能有效抑制体动反应的发生;但观察组的丙泊酚用量、辅助呼吸时间及停药至清醒时间明显低于对照组,两组间比较有显著性差异(P<0.05)。结论地佐辛复合丙泊酚麻醉能有效减少人流手术中宫颈扩张操作所致体动反应的发生例数,效果更优于单独使用内泊酚。
Objective To observe the inhibitory effect of dezocine plus propofol anesthesia on the body motion response induced by cervical dilatation during abortion. Methods Selected patients undergoing general anesthesia for intraoperative cervical dilation should be randomly divided into two groups. All patients received propofol 3 mg / kg for intravenous anesthesia. Intraoperative expansion of cervical surgery before the two groups without any treatment. In the two groups of patients during dilatation of the cervix, if physical activity occurred, the operation was suspended. In the observation group, dezocine 0.1 mg / kg was added to the observation group and propofol 1 mg / kg was added to the control group before resuming operation. Postoperative statistics of the two groups of patients with cervical dilatation occurred during the number of cases of physical reaction. Results There were 4 patients in the observation group and 5 patients in the control group. The addition of dezocine and propofol could effectively inhibit the occurrence of body movement. However, the dosage of propofol, the time of resuscitation and the withdrawal until Awake time was significantly lower than the control group, there was significant difference between the two groups (P <0.05). Conclusion Dezocine combined with propofol anesthesia can effectively reduce the number of cases of physical reaction caused by cervical dilation during abortion, the effect is better than that of intravenous propofol alone.