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目的观察单纯使用异丙酚与芬太尼联合异丙酚合用于无痛人工流产,探讨两种麻醉方式的优越性。方法对200例早孕妇女要求无痛人工流产手术者随机分为A组(单纯异丙酚)和B组(芬太尼联合异丙酚)。结果芬太尼联合异丙酚可达到比较理想的效果,且可显著降低异丙酚的用量,降低其不良反应。结论相对于单纯使用异丙酚,芬太尼联合异丙酚于无痛人工流产时不良反应少,镇痛效果确切。加用芬太尼可提高痛阈,减少异丙酚的用量,术后镇痛效果好,安全性高。
Objective To observe the superiority of using two kinds of anesthesia to observe the simple and convenient abortion induced by propofol combined with fentanyl and propofol. Methods 200 cases of early pregnant women requiring painless abortion were randomly divided into A group (propofol only) and B group (fentanyl combined with propofol). The results of fentanyl combined with propofol can achieve the desired effect, and can significantly reduce the amount of propofol and reduce its adverse reactions. Conclusions Relative to the simple use of propofol, fentanyl combined with propofol in painless abortion side effects, analgesic effect is exact. Add fentanyl can increase the pain threshold, reduce the dosage of propofol, postoperative analgesic effect, high safety.