论文部分内容阅读
目的观察在人工流产术中采用曲马多复合丙泊酚静脉麻醉的效果,并与单纯丙泊酚静脉麻醉对照。方法将符合条件要求做无痛人流术的200例患者随机分为2组,观察组100例使用曲马多复合丙泊酚静脉麻醉,对照组100例单纯使用丙泊酚静脉麻醉。计算丙泊酚总量,观察术前、术中、术后BP、HR、SpO2、RR的变化,观察麻醉效果、术后镇痛效果、清醒时间、离院时间及术中、术后恶心、呕吐情况。结果观察组丙泊酚总量、患者离院时间、术后恶心呕吐发生率均明显低于对照组(P均<0.05),观察组麻醉及术后镇痛达优率均明显高于对照组(P均<0.05);2组术前、术中、术后各时点BP、HR、SpO2、RR变化无统计学差异(P均>0.05)。结论曲马多复合丙泊酚静脉麻醉用于无痛人流术,麻醉效果好,丙泊酚用量少,苏醒迅速而彻底,恶心呕吐等并发症发生率低,缩短离院时间,提高麻醉手术质量,更适用于门诊手术。
Objective To observe the effect of intravenous tramadol and propofol anesthesia in induced abortion and compare it with simple propofol intravenous anesthesia. Methods A total of 200 patients who underwent painless abortion under the condition were randomly divided into two groups. One hundred patients in the observation group were treated with intravenous tramadol and propofol. One hundred patients in the control group were anesthetized with propofol. The total amount of propofol was calculated. The changes of BP, HR, SpO2 and RR were observed before, during and after operation. The effects of anesthesia, postoperative analgesia, awake time, hospital stay, postoperative nausea, Vomiting. Results The total amount of propofol, the time of hospitalization and the incidence of postoperative nausea and vomiting in the observation group were significantly lower than those in the control group (all P <0.05). The rates of anesthesia and postoperative analgesia in the observation group were significantly higher than those in the control group (P <0.05). There was no significant difference in BP, HR, SpO2 and RR between the two groups before operation, during operation and after operation (all P> 0.05). Conclusion Tramadol propofol intravenous anesthesia for painless abortion, anesthesia, propofol with less dosage, wake up quickly and thoroughly, the incidence of nausea and vomiting and other complications, reduce hospitalization time, improve anesthesia Quality, more suitable for outpatient surgery.