论文部分内容阅读
目的:旨分析依托咪酯和异丙酚在无痛人流中的临床麻醉效果。方法:选择笔者单位2015年1月至2016年7月间收治的100例行无痛人流术患者为研究资料,按其手术时间顺序分为两组(依托咪酯组和异丙酚组各50例),两组患者均应用芬太尼;依托咪酯组:0.1~0.2mg/kg依托咪酯静脉注射;异丙酚组:2.0mg/kg异丙酚静脉注射。分析两组无痛人流效果。结果:依托咪酯组和异丙酚组麻醉效果、麻醉诱导时间、术后清醒时间均无明显差异(P>0.05);且两组均未现人流综合征;但异丙酚组恶心呕吐、肌肉阵发性痉挛发生率明显低于依托咪酯组,统计学差异明显(P<0.05);且该组注射痛、呼吸不顺畅发生率则明显高于依托咪酯组,统计学差异明显(P<0.05)。结论:临床无痛人流术时采用异丙酚复合芬太尼的较果优于依托咪酯复合芬太尼,且患者术后恢复快,不良反应发生率低。
Objective: To analyze the clinical effects of etomidate and propofol in painless abortion. Methods: 100 cases of painless abortion patients who were admitted to our hospital from January 2015 to July 2016 were selected as study data and divided into two groups according to the operation time sequence (etomidate group and propofol group 50 Example), both groups were used fentanyl; etomidate group: 0.1 ~ 0.2mg / kg etomidate intravenous injection; propofol group: 2.0mg / kg propofol intravenous injection. Analysis of two groups of painless flow effect. Results: There were no significant differences in anesthesia induction time, anesthesia induction time and postoperative wake recovery time between etomidate group and propofol group (P> 0.05). No flow-induced syndrome was observed in both groups. However, The incidence of paroxysmal spasm was significantly lower than that of etomidate group (P <0.05), and the incidence of painful injection and non-smooth breathing in the group was significantly higher than that of etomidate group P <0.05). Conclusions: Compared with etomidate and fentanyl, propofol combined with fentanyl is more effective in clinical painless abortion, and the patients recover quickly and the incidence of adverse reactions is lower.