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目的观察中药贴穴对无痛人工流产术中依托咪酯诱发的恶心、呕吐的疗效及安全性。方法早孕妇女90例,随机均分为依托咪酯组(A组)、依托咪酯复合托烷司琼组(B组)及依托咪酯复合中药贴穴组(C组)。C组孕妇提前30min在支沟和神阙贴敷中药,消毒前先静脉注射芬太尼0.2μg/kg,B组静脉注射托烷司琼2mg,2min后静脉注射依托咪酯0.15~0.30mg/kg。顺利完成手术后观察患者苏醒时、苏醒后30min和苏醒后6h恶心、呕吐情况。结果三组患者各时点的BP、HR和SpO_2差异均无统计学意义(P>0.05),均未出现严重循环系统变化。苏醒时,C组恶心、呕吐发生率低于A组(P<0.05),苏醒后30min和苏醒后6h,B、C组恶心、呕吐发生率均低于A组(P<0.05)。结论依托咪酯用于无痛人工流产术麻醉效果满意,配合中药贴穴能够降低恶心、呕吐发生率。
Objective To observe the efficacy and safety of traditional Chinese medicine acupoints on etomidate-induced nausea and vomiting in painless induced abortion. Methods 90 pregnant women with early pregnancy were randomly divided into etomidate group (A group), etomidate and tropisetron group (B) and etomidate compound Chinese medicine point group (C group). C group of pregnant women 30min ahead of the branch ditch and Shenque application of traditional Chinese medicine before disinfection of intravenous fentanyl 0.2μg / kg, B group intravenous tropisetron 2mg, 2min after intravenous injection of etomidate 0.15 ~ 0.30mg / kg. After the successful completion of surgery to observe the patient awake, wake 30min and wake up 6h after nausea, vomiting. Results There were no significant differences in BP, HR and SpO 2 between the three groups at all time points (P> 0.05). No significant changes in circulatory system were observed. On awakening, the incidence of nausea and vomiting in group C was lower than that in group A (P <0.05), and the incidence of nausea and vomiting in group B and C was significantly lower than that in group A at 30 min after awake and 6 h after awake (P <0.05). Conclusion Etomidate for painless artificial abortion anesthesia satisfactory results, with Chinese medicine points can reduce the incidence of nausea and vomiting.