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目的 观察芬太尼与阿托品静脉注射在人工流产的镇疼效应。方法 自愿者Ⅰ -Ⅱ级ASA妇女 6 0例 ,分为A组单用芬太尼 (An =30 ) ,B组芬太尼与阿托品 30例 ,芬太尼 0 1mg,注速 2 0秒 ,观察镇疼效果按视觉模拟评分 (VAS)及用药后HR、RR、SpO2 、BP变化 ,及对人流综合征发生率和宫颈松驰情况。结果 AB两组镇疼满意 ,RR、SpO2 、BP无影响 ,无一例人流综合征发生 ,两组比较无统计学差异 (P >0 0 5 )。心率A组用药后下降明显 ,与B组比较差异显著 (P <0 0 1)。B组宫颈松驰优于A组 (P <0 0 1)。结论 阿托品与芬太尼用于门诊流产安全有效、价廉 ,病人乐于接受
Objective To observe the analgesic effect of intravenous injection of fentanyl and atropine on induced abortion. Methods Sixty ASA women with stage Ⅰ-Ⅱ status were divided into group A (n = 30), fentanyl and atropine group B (n = 30), fentanyl 0 1mg The analgesic effect was observed by visual analogue scale (VAS) and HR, RR, SpO2, BP changes after treatment, and the incidence of flow syndrome and cervical relaxation. Results There was no significant difference in RR, SpO2 and BP between the two groups. There was no significant difference between the two groups (P> 0.05). Heart rate A group decreased significantly after treatment, compared with the B group significant difference (P <0.01). Cervical relaxation was better in group B than in group A (P <0.01). Conclusions Atropine and fentanyl are safe, effective and cheap for outpatients in outpatients, and patients are willing to accept it