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目的:研究和观察在无痛人流麻醉中使用舒芬太尼联合丙泊酚后对患者宫缩痛的影响和干预效果。方法:收集行无痛人流的患者共93例,根据患者入院日期的单双号数分为46例对照组和47例观察组,对照组患者使用芬太尼联合丙泊酚进行麻醉,观察组使用舒芬太尼联合丙泊酚进行麻醉,将两组患者的术后60 min时的意识状态评分、术后宫缩痛率进行观察和对比。结果:观察组患者的术后60 min时的意识状态评分明显高于对照组,观察组患者的术后宫缩痛率显著高于对照组(P均<0.05)。结论:在行无痛人流患者的麻醉过程中,使用舒芬太尼联合丙泊酚的麻醉方式,能够有效抑制患者术后的宫缩痛,并使患者能够迅速恢复意识状态,值得推广应用。
Objective: To study and observe the effects of sufentanil combined with propofol on uterine contractions in pain-free anesthesia and intervention effects. Methods: A total of 93 patients with painless abortion were divided into 46 control groups and 47 observation groups based on the single and double numbers of admission date. Patients in the control group were treated with fentanyl and propofol for anesthesia. The observation group Sufentanil and propofol were used for anesthesia. The score of consciousness state and the rate of postoperative uterine contractions at 60 minutes after surgery were observed and compared. Results: The score of conscious state in observation group at 60 min after operation was significantly higher than that in control group. The postoperative uterine contractions rate in observation group was significantly higher than that in control group (all P <0.05). Conclusion: The anesthesia with sufentanil combined with propofol during the anesthesia of painless patients can effectively inhibit the postoperative uterine contractions and prompt the patients to regain their consciousness, which is worth popularizing and applying.