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目的研究异丙酚一曲马多复合麻醉用于无痛人工流产的效果和安全性。方法选择自愿要求无痛人工流产术的孕妇200例,分为异丙酚一曲马多(Ⅰ组)和异丙酚(Ⅱ组)。分别在异丙酚一曲马多和单纯异丙酚静脉麻醉下行人工流产术、术中观察血压、心率、脉搏、血氧饱和度、呼吸变化、宫口松弛程度、镇痛效果、术后宫缩痛、用药量以及人工流产综合症的发生情况。结果Ⅰ组患者围术期循环与呼吸、血氧饱和度基本无变化,而Ⅱ组上述指标均有不同程度下降,2组术中镇痛效果均满意,宫口松弛率Ⅰ、Ⅱ组分别为91%和82%,Ⅰ组术后宫缩痛低于Ⅱ组,Ⅰ组异丙酚用量明显少于Ⅱ组。结论异丙酚伍用曲马多复合麻醉用于无痛人工流产,完全有效;同时能减少异丙酚用量降低循环呼吸抑制发生率,值得推广应用。
Objective To study the effect and safety of propofol - tramadol anesthesia in painless induced abortion. Methods 200 pregnant women who volunteered for painless abortion were divided into propofol-tramadol (group Ⅰ) and propofol (group Ⅱ). Respectively, in a propofol tramadol and propofol intravenous anesthesia underwent artificial abortion, intraoperative blood pressure, heart rate, pulse, oxygen saturation, respiratory changes, cervix relaxation, analgesic effect, postoperative hysteroscopy Contracture, dosage and the incidence of abortion syndrome. Results The perioperative circulation, respiration and oxygen saturation in group Ⅰ were basically unchanged. The above indexes in group Ⅱ all decreased to some extent. The analgesic effects in both groups were satisfactory. The relaxation rates in group Ⅰ and group Ⅱ were 91% and 82% respectively. The postoperative uterine contractions in group Ⅰ were lower than those in group Ⅱ. The dosage of propofol in group Ⅰ was less than that in group Ⅱ. Conclusion Propofol combined with tramadol anesthesia for painless abortion, completely effective; can reduce the dosage of propofol to reduce the incidence of respiratory depression, it is worth promoting the application.