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目的:探讨无痛人工流产术静脉复合麻醉的临床用药效果。方法:本次入选为我院2014年7月至2015年8月期间收治的无痛人工流产手术患者90例,患者在入组前均签署知情同意书,根据随机数学法将患者随机分为三组,每组30人,组别用A、B、C表示,根据患者的自身身体情况决定使用麻醉的剂量,三组患者具体麻醉方法如下:A组患者采用异丙酚+地佐辛;B组患者采用异丙酚加芬太尼;C组患者采用异丙酚。结果:三组患者在麻醉药品使用效果上具有差异性(P<0.05),B组的氧气分压较低,A组和C组的属于正常。A组的麻醉诱导时间、清醒时间、出血时间均优于B组和C组两组患者,且P<0.05统计学差异显著;A组无麻醉并发症发生,优于B组B组和C组两组患者,且P<0.05统计学差异显著。结论:采用异丙酚复合新型镇痛药地佐辛进行麻醉,患者可在全麻状态下进行人工流产手术,并且手术顺利进行、呼吸抑制等并发症少,患者麻醉时间短、氧气分压值正常,值得在临床中应用。
Objective: To investigate the clinical effect of intravenous anesthesia in painless artificial abortion. Methods: Ninety patients admitted to our hospital from July 2014 to August 2015 were enrolled in this study. All patients received informed consent before enrollment. Patients were randomly divided into three groups according to the random number method Group, each group of 30 people, group A, B, C said, according to the patient’s own body condition decided to use the dose of anesthesia, three groups of patients with specific anesthesia as follows: A group of patients with propofol + dezocine; B Propofol plus fentanyl was used in the group and propofol was used in the C group. Results: The effects of anesthetic drugs in three groups were significantly different (P <0.05). The partial pressure of oxygen in group B was lower, while those in group A and C were normal. The anesthesia induction time, awake time and bleeding time in group A were better than those in group B and group C, and the difference was statistically significant (P <0.05). There was no anesthetic complication in group A, which was better than that in group B and C Two groups of patients, and P <0.05 statistically significant difference. Conclusion: Propofol combined with a new analgesic agent dezocine for anesthesia, the patient can be under general anesthesia induced abortion, and the operation smoothly, less respiratory depression and other complications, the patient anesthesia time is short, the partial pressure of oxygen Normal, it is worth in clinical application.