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目的研究复方芬太尼糊剂对人工流产术镇痛的可行性。方法160例要求人工流产孕妇随机分为两组。观察组给复方芬太尼糊剂,内含芬太尼8g/kg,东莨菪碱0.02mg/kg,溶于20g藕粉;对照组给藕粉糊剂20g。观察术中生理状态、VAS评分、宫口松弛程度及术后并发症,并采血测定COR,AI,AⅡ及血糖。结果观察组在术中生理状态、VAS评分、宫口松弛程度及术后并发症发生率方面明显优于对照组,但在术后恶心、呕吐方面则无显著差异。结论复方芬太尼糊剂对人工流产术的镇痛安全、有效。
Objective To study the feasibility of compound fentanyl paste for analgesia induced by induced abortion. Methods 160 cases of abortion pregnant women were randomly divided into two groups. Observation group to compound fentanyl paste, containing fentanyl 8g / kg, scopolamine 0.02mg / kg, dissolved in 20g lotus root starch; the control group to lotus root paste 20g. The physiological status, VAS score, the degree of cervix relaxation and postoperative complications were observed. Blood samples were collected for determination of COR, AI, AII and blood glucose. Results The observation group was significantly better than the control group in intraoperative physiological status, VAS score, cervix relaxation and the incidence of postoperative complications, but no significant differences in postoperative nausea and vomiting. Conclusions Compound fentanyl paste is safe and effective for analgesia induced by induced abortion.