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目的观察丙泊酚复合小剂量芬太尼用于无痛人流术的疗效。方法160例ASAI～Ⅱ级早期妊娠患者分为两组,镇痛组80例采用丙泊酚复合小剂量芬太尼,对照组80例不使用任何药物,按常规人工流产术操作。常规监测Bp、HR、SpO2,并观察镇痛效果、人流综合征发生例数、手术时间及药物不良反应。结果镇痛组优良率95%,总有效率100%,无人流综合征发生,对照组均有不同程度的疼痛感,有7例发生人流综合征。结论丙泊酚、芬太尼联合用于人工流产手术,具有起效快、诱导和恢复期平稳、苏醒迅速等优点,是一种安全、有效的麻醉方法。
Objective To observe the efficacy of propofol combined with fentanyl in painless abortion. Methods One hundred and sixty patients with ASAI stage Ⅱ early pregnancy were divided into two groups. Eighty patients in the analgesic group received propofol combined with fentanyl and 80 in the control group did not use any drugs. The patients were treated by conventional artificial abortion. Routine monitoring Bp, HR, SpO2, and observe the analgesic effect, the number of cases of flow syndrome, operation time and adverse drug reactions. Results The excellent and good rate of analgesia group was 95%, the total effective rate of 100%, no flow syndrome, the control group had varying degrees of pain, 7 cases of flow syndrome. Conclusion Propofol combined with fentanyl for abortion has the advantages of rapid onset, stable induction and recovery period, rapid recovery and so on. It is a safe and effective anesthetic method.