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目的观察固定剂量地佐辛复合丙泊酚用于无痛人流的临床效果。方法选取2012年1-3月天津市水阁医院门诊自愿要求行无痛人流手术的早孕妇女100例,随机分为单纯使用丙泊酚为对照组和使用固定剂量地佐辛复合丙泊酚为观察组,每组50例。记录并比较两组患者的丙泊酚用量、意识消失时间、术中平均动脉压、心率、血氧饱和度变化、苏醒时间、苏醒时VAS评分、不良反应的发生和离院时间等情况。结果观察组患者的苏醒时VAS评分、丙泊酚用药量均低于对照组(P<0.01),意识消失时间、术中平均动脉压、心率、血氧饱和度变化、苏醒时间、不良反应的发生和离院时间两组差异无统计学意义(P>0.05)。结论固定剂量地佐辛复合丙泊酚用于无痛人流镇痛效果肯定,安全,可行。
Objective To observe the clinical effect of fixed dose of dezocine combined with propofol for painless abortion. Methods From January to March in 2012, 100 cases of early pregnancy women who volunteered to perform painless abortion in Shuige Hospital of Tianjin were randomly divided into two groups: propofol alone and propofol Observation group, 50 cases in each group. The dosage of propofol, time of consciousness disappearance, mean arterial pressure, heart rate, blood oxygen saturation, wake time, VAS score at awakening, incidence of adverse reactions and time of departure were recorded and compared between the two groups. Results In the observation group, the VAS score and the dose of propofol were lower than those in the control group (P <0.01), the disappearance of consciousness time, mean arterial pressure, heart rate, oxygen saturation, wakefulness, adverse reactions There was no significant difference between the two groups (P> 0.05). Conclusion The fixed dose of dezocine combined with propofol for the painless analgesic effect is safe, feasible.