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目的:探讨异丙酚复合芬太尼静脉麻醉在无痛人工流产术中的临床应用效果。方法:本研究随机选择2013年1月2013年8月自愿施行无痛人工流产术的孕妇120例,ASAⅠⅡ级,随机分为A组、B组及C组,其中A组单纯采用异丙酚进行麻醉,B组采用异丙酚联合1μg/kg芬太尼进行麻醉,C组采用异丙酚联合1μg/kg芬太尼进行麻醉,比较三组的麻醉效果。结果:三组麻醉诱导时间、苏醒时间及异丙酚总用量比较有明显差异(F=11.21、4.65、18.62,P<0.05);进行两两诱导时间、苏醒时间比较发现B组0.05)。结论:异丙酚联合小剂量芬太尼用于无痛人工流产手术,具有良好的麻醉效果和安全性,值得临床进一步推广。
Objective: To investigate the clinical effect of propofol combined with fentanyl intravenous anesthesia in painless artificial abortion. Methods: In this study, 120 pregnant women who voluntarily performed painless abortion in January 2013 and August 2013 were randomly divided into A group, B group and C group. Group A was treated with propofol alone The rats in group A were anesthetized with propofol and fentanyl (1μg / kg), and the rats in group C were anesthetized with propofol and fentanyl (1μg / kg). The anesthetic effects of the three groups were compared. Results: The induction time, recovery time and the total dosage of propofol in the three groups were significantly different (F = 11.21, 4.65, 18.62, P <0.05) Group A (t = 3.06, 3.88, 3.09, 2.89, P <0.05). Three groups of anesthesia complications occurred no significant difference (P> 0.05). Conclusion: Propofol in combination with low-dose fentanyl for painless abortion has good anesthetic effect and safety, which is worth further promotion in clinic.