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目的研究罗哌卡因宫颈旁神经阻滞联合静脉麻醉用于人流手术的可行性和安全性。方法选择我院妇科需人流手术的住院患者60例,随机分为A组和B组,A、B组均行静脉麻醉后,B组开始手术,A组行宫颈旁神经阻滞麻醉后开始手术,分别记录麻醉过程中两组患者的平均动脉压、心率及指脉氧饱和度,两组患者术中肢动,两组麻醉患者的用药量及两组宫颈口松弛度。结果 A、B两组患者的平均动脉压、心率及指脉氧饱和度在手术过程中的变化差异无统计学意义;两组患者术中肢动比较差异有统计学意义;两组宫颈口松弛度的比较差异有统计学意义;A组丙泊酚用量少于B组,两组比较差异有统计学意义(P<0.05),A组芬太尼用量少于B组,两组比较差异无统计学意义(P>0.05)。结论罗哌卡因宫颈神经阻滞联合静脉复合麻醉用于人流术,血流动力学稳定,术中肢体活动减少,可以更好的松弛宫颈口,便于手术操作,减少全麻药的用量,具有良好的可行性及安全性。
Objective To study the feasibility and safety of ropivacaine combined with paraventricular nerve block and intravenous anesthesia for abortion. Methods Sixty inpatients with gynecological need abortion in our hospital were randomly divided into group A and group B. Group A and group B received intravenous anesthesia and group B started operation. Group A received anesthesia after parasellar nerve block and started operation , Respectively, recording the average arterial pressure, heart rate and pulse oxygen saturation of two groups of patients during anesthesia, intraoperative limb movements in both groups, the dosage of anesthesia in two groups and the cervix laxity in the two groups. Results There was no significant difference in average arterial pressure, heart rate and pulse oxygen saturation between groups A and B during operation. There was significant difference between the two groups in the intraoperative limb movements. The relaxation of cervix (P <0.05). The dosage of fentanyl in group A was less than that in group B, the difference between two groups was statistically significant The difference was not statistically significant (P> 0.05). Conclusions Ropivacaine combined with intravenous anesthesia and cervical nerve block for abortion, hemodynamic stability, reduced limb activity, can better relax the cervix, easy to operate, reduce the amount of anesthetic, with good Feasibility and safety.