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目的就芬太尼与瑞芬太尼在人工流产术的应用进行比较。方法选择2012年10月～2013年10月我院收治的妊娠时间在6～9周拟行无痛人工流产术的病例60例,随机分为芬太尼组(F组)和瑞芬太尼组(R组)各30例。结果两组异泊酚用量R组(58.23±11.56)mg明显少于F组(112.37±19.26)mg。R组意识消失时间(2.5±0.2)min明显短于F组(5.8±0.3)min;意识恢复时间R组(1.6±0.5)min明显快于F组(6.5±0.2)min。R组呼吸暂停的发生率为35%,F组为21%;R组有2例、F组有1例需面罩加压供氧数次,SpO2才能恢复到99%。R组呕吐率为5%与F组(4%)相比无统计学意义。结论在人工流产术中应用芬太尼与瑞芬太尼能够起到较佳的镇痛效果,也能让患者在手术中不会出现体动,且术后恢复时间快,具有较佳的应用价值,值得推广应用。
Objective To compare the application of fentanyl and remifentanil in induced abortion. Methods Sixty patients with painless abortion undergoing painless abortion 6 to 9 weeks after pregnancy in our hospital from October 2012 to October 2013 were randomly divided into fentanyl group (F group) and remifentanil Group (R group) 30 cases each. Results The dosage of doxorubicin in the two groups was significantly lower than that in the F group (58.23 ± 11.56 mg) (112.37 ± 19.26 mg). (2.5 ± 0.2) min in R group was significantly shorter than that in F group (5.8 ± 0.3) min. The time to consciousness recovery in R group (1.6 ± 0.5) min was significantly faster than that in F group (6.5 ± 0.2) min. The incidence of apnea was 35% in group R and 21% in group F, 2 in group R, and 1 in group F needed to be pressurized several times with a mask and SpO2 recovered to 99%. The vomiting rate in group R was 5% compared with that in group F (4%). Conclusions The application of fentanyl and remifentanil in artificial abortion can achieve better analgesic effect, and also can make the patient not have body movement during operation, and the recovery time after operation is quicker and has better application Value, it is worth promoting application.