摘要
目的对比观察酒石酸布托啡诺注射液(诺扬)在丙泊酚麻醉的无痛人工流产术中的应用效果。方法 120例拟行无痛人工流产的初孕妇女,随机分为3组:单纯丙泊酚组(A组)、诺扬联合丙泊酚组(B组)、芬太尼联合丙泊酚组(C组)。A组:静脉注射2.0mg/kg丙泊酚;B组:静脉注射0.01mg/kg的诺扬+2.0mg/kg的丙泊酚;C组:静脉注入0.05mg/kg的芬太尼+2.0mg/kg丙泊酚,3组均匀速推注丙泊酚,待意识消失后施术。术中视患者的手术情况适量追加丙泊酚20～50mg。对3组患者手术中麻醉深度、丙泊酚用量、术中疼痛、术后出血量进行对比分析。结果 3组患者手术中丙泊酚用量比较结果显示配伍诺扬组丙泊酚用量最少,用量为(124±25)mg;其次是C组、A组用量;与A组比较差异有统计学意义(P<0.01);A组术中出现体动26例,高于其他两组,差异有统计学意义(P<0.01);A术后疼痛评分值为(4.81±1.91)分,高于其他两组,差异有统计学意义(P<0.05);从患者的清醒时间看,两药联用的麻醉相对时间高于单独使用丙泊酚组(P<0.05)。结论丙泊酚伍用诺扬在人工流产麻醉中,可以减少丙泊酚的总用药量,镇痛、镇静效果好。
Objective To contrast concept Chanuo Young propofol painless abortion effect. Methods 120 cases of early pregnant women to be painless flow,were randomly divided into three groups： pure propofol group （group A）,Enoch Young combined with propofol group （B）,fentanyl combined with propofol group （group C）. Group A： 2.0 mg/kg intravenous propofol; group B： Enoch Young,intravenous injection of 0.01mg/kg ＋2.0 mg/kg of propofol; C group： intravenous injection of 0.05mg/kg of fentanyl ＋2.0 mg/kg propofol,three sets of uniform speed bolus of propofol,when loss of consciousness after the treatments. Surgery as the amount of surgery for patients with an additional 20～50mg of propofol. The depth of anesthesia in three groups of patients with surgery,the dose of propofol,intraoperative pain,postoperative bleeding were analyzed. Results The amount of propofol between there groups,group C was was （124±25）mg.There was significance difference with group A（P〈0.01）. 26 cases of group A moved during surgery .It was higher than the other two groups（P〈0.01）. Pain scores of group A was（4.81±1.91）point. It was higher than the other two groups（P〈0.01）. Sober time of group A was hightist. There was significance difference compared with the others（P〈0.01）. Conclusion Propofol promise Yang abortion anesthesia can reduce the total dosage of propofol,analgesic,sedative effect.
出处
《当代医学》
2012年第18期12-13,共2页
Contemporary Medicine
关键词
诺扬
丙泊酚
麻醉:无痛人流
Butophanl
Propofol
Anesthesia
Painlessp abortion
