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目的:观察丙泊酚与一次量氯胺酮或芬太尼用于人流术的麻醉效果。方法:90例自愿终止妊娠的孕妇,随机分为三组,丙泊酚(P组),丙泊酚与氯胺酮组(PK组),丙泊酚与芬太尼组(PF组)。结果:PK组与PF组丙泊酚用量明显少于P组,入睡时间无明显差异,自行离台时间P组与PK组较PF组略长,离院时间PK组明显延长。镇痛效果:PK组与PF组均优于P组,组间比较有统计学差异。PK组术后1例出现轻微恶心呕吐,P组有3例下腹疼痛。结论:丙泊酚复合小剂量氯胺酮或芬太尼用于无痛人流的麻醉效果满意。
Objective: To observe the anesthetic effects of propofol and ketamine or fentanyl for abortion. Methods: Ninety pregnant women who voluntarily terminated pregnancy were randomly divided into three groups: propofol (P group), propofol and ketamine group (PK group), propofol group and fentanyl group (PF group). Results: The dosage of propofol in PK group and PF group was significantly less than that in P group, and there was no significant difference in sleep time between P group and PK group. Analgesic effect: PK group and PF group were better than P group, there was a statistically significant difference between groups. One patient in PK group had mild nausea and vomiting after operation, while three patients in P group had lower abdominal pain. Conclusion: Propofol combined with low-dose ketamine or fentanyl for painless anesthesia is satisfactory.