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目的观察异丙酚复合氯诺昔康用于人工流产术的麻醉效果及镇痛疗效。方法80例门诊人工流产术患者,ASAI～II级,随机分为A和B组,每组40例,A组应用异丙酚1.5～2.5mg/kg,B组应用氯诺昔康8mg与异丙酚1.5～2.0mg/kg。监测术前和扩宫颈时的MAP、HR及RR,记录手术时间、异丙酚用量、苏醒时间及不良反应的发生情况,麻醉效果按优、良和差三级进行评定,采用视觉模拟评分法(VAS)对术后宫缩疼痛程度进行评估。结果B组异丙酚的总用量较少、苏醒时间更短(P<0.05),宫缩痛程度B组较A组明显减轻(P<0.05),术后头晕头痛、恶心呕吐、呼吸抑制和异常出血等副作用组间比较无统计学意义(P>0.05)。结论人流术中氯诺昔康复合异丙酚可降低异丙酚用量,缩短苏醒时间,不增加术中和术后子宫出血量,可明显减轻术后宫缩疼痛。
Objective To observe the anesthetic effect and analgesic effect of propofol combined with lornoxicam in induced abortion. Methods 80 cases of outpatient abortion patients, ASAI ~ II, were randomly divided into A and B groups, 40 cases in each group, A group of propofol 1.5 ~ 2.5mg / kg, B group lornoxicam 8mg and Propofol 1.5 ~ 2.0mg / kg. The MAP, HR and RR were monitored before and during cervix uterine cervix. The time of operation, the dosage of propofol, the recovery time and the adverse reactions were recorded. The anesthetic effects were evaluated according to excellent, good and bad grades. The visual analogue scale VAS) to assess the degree of postoperative contractions pain. Results Compared with group A, the total amount of propofol in group B was less, the recovery time was shorter (P <0.05), and the degree of uterine contraction in group B was significantly lower than that in group A (P <0.05). The postoperative dizziness, headache, nausea and vomiting, Abnormal bleeding and other side effects were not statistically significant (P> 0.05). Conclusion Lornoxicam combined with propofol in abortion can reduce the dosage of propofol, shorten the recovery time, not increase intraoperative and postoperative uterine bleeding, can significantly reduce postoperative contractions pain.