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目的通过比较单纯异丙酚、异丙酚复合芬太尼、曲马多或舒芬太尼四种麻醉方法探究人工流产手术合理的异丙酚麻醉配方。方法 180例ASAⅠ～Ⅱ级、自愿终止妊娠的早孕妇女随机分为3组:F组、T组和S组,分别在异丙酚诱导前静注芬太尼0.75S/kg、曲马多1mg/kg、舒芬太尼0.075g/kg。记录各组患者镇痛效果及术中术毕不良反应的发生情况。结果 S组镇痛效果均优于T组和F组(P<0.05);T组、S组术中呼吸抑制的发生率低于F组(P<0.05)。结论舒芬太尼复合异丙酚的麻醉及镇痛效果优于异丙酚复合曲马多或芬太尼。
Objective To compare propofol propofol, propofol with fentanyl, tramadol or sufentanil anesthesia four methods to explore the reasonable abortion anesthesia induced abortion recipe. Methods One hundred and eighty ASA Ⅰ ~ Ⅱ women with early pregnancy who voluntarily terminated pregnancy were randomly divided into three groups: F group, T group and S group. The patients were anesthetized with propranolol 0.75S / kg, tramadol 1mg / kg, sufentanil 0.075g / kg. Record the analgesic effect and the incidence of adverse reactions during operation in each group. Results The analgesic effects in group S were better than those in group T and F (P <0.05). The incidence of intraoperative respiratory depression in group T and group S was lower than that in group F (P <0.05). Conclusion Sufentanil combined with propofol has better anesthesia and analgesic effects than propofol combined with tramadol or fentanyl.