论文部分内容阅读
目的通过对680例应用丙泊酚联合芬太尼施行无痛人工流产术的临床效果观察,进一步确定丙泊酚联合芬太尼用于无痛人工流产术是目前终止早期妊娠的安全、有效的手术方式。方法选择680例要求无痛人工流产术的早孕妇女作为观察组,术中给予芬太尼、丙泊酚进行静脉麻醉,并与同期要求传统人工流产术的早孕妇女进行对比观察。观察两组患者的疼痛程度、出血量、人工流产综合征的发生率,并记录观察组麻醉前、手术中及手术后血压、心率和血氧饱和度的变化,麻醉恢复时间及不良反应。结果观察组疼痛程度明显轻于对照组,无一例人工流产综合征的发生,两组患者在出血量方面比较差异无统计学意义。观察组麻醉恢复快、不良反应小,麻醉和手术期间血压和心率下降较明显,术后可迅速恢复。结论丙泊酚联合芬太尼用于无痛人工流产术,起效快,恢复快,镇痛效果好,麻醉不良反应小,可预防人工流产综合征的发生,是目前终止早期妊娠的安全、有效的手术方式。
Objective To evaluate the clinical efficacy of propofol combined with fentanyl for painless artificial abortion in 680 patients. It is further confirmed that propofol combined with fentanyl for painless artificial abortion is the safe and effective termination of early pregnancy Surgical approach. Methods A total of 680 early pregnancy women who requested painless abortion were selected as the observation group. Intravenous fentanyl and propofol were given intravenous anesthesia and contrasted with that of the pregnant women who required traditional abortion in the same period. The degree of pain, the amount of bleeding and the incidence of abortion syndrome in both groups were observed. The changes of blood pressure, heart rate and oxygen saturation before anesthesia, intraoperative and postoperative anesthesia, anesthesia recovery time and adverse reactions in the observation group were recorded. Results The pain degree in the observation group was significantly lower than that in the control group, and no one had an induced abortion syndrome. There was no significant difference in bleeding volume between the two groups. Observation group anesthesia recovery fast, small adverse reactions, anesthesia and blood pressure and heart rate during surgery decreased significantly, postoperative recovery can be rapid. Conclusion Propofol combined with fentanyl for painless artificial abortion, rapid onset, rapid recovery, good analgesic effect, narcotic adverse reactions, can prevent the occurrence of induced abortion syndrome is the termination of early pregnancy safety, Effective surgical methods.