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目的:观察丙泊酚复合芬太尼静脉麻醉用于无痛人工流产手术的镇痛效果。方法:选择自愿要求做无痛人工流产手术的早孕妇女100例,妊娠时间为6～9周,ASA为Ⅰ～Ⅱ级,并随机分为丙泊酚(P组)和丙泊酚-芬太尼(PF组)两组,每组50例,两组患者在年龄、体重、妊娠及手术时间方面相比无明显差异性(P>0.05)。观察记录两组患者麻醉效果、宫颈松驰度、丙泊酚用量、清醒时间、自清醒至离院时间等情况。结果:PF组麻醉效果明显优于P组,宫颈松驰度较好,丙泊酚用量少,术后清醒快,离院时间早。结论:丙泊酚复合芬太尼静脉麻醉非常适合于无痛人工流产手术的要求。
Objective: To observe the analgesic effect of propofol combined with fentanyl intravenous anesthesia in painless induced abortion. Methods: 100 pregnant women who volunteered to have painless abortion were enrolled. Pregnancy time ranged from 6 to 9 weeks. ASA grade Ⅰ ~ Ⅱ were randomly divided into propofol group (P group) and propofol - fentanyl group (PF group), 50 cases in each group. There was no significant difference in age, weight, pregnancy and operation time between the two groups (P> 0.05). Observed and recorded two groups of patients anesthesia, cervical relaxation, propofol dosage, awake time, self-awake to leave time and so on. Results: The effect of anesthesia in PF group was better than that in P group. The degree of cervix relaxation was better, the dosage of propofol was less, the awake was faster and the time of leaving hospital was earlier. Conclusion: Propofol combined with fentanyl intravenous anesthesia is very suitable for the requirements of painless artificial abortion.