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目的观察小剂量氯胺酮联合丙泊酚麻醉在可视人流术的应用效果。方法妊娠10周以内的自愿接受终止妊娠的患者600例随机均分为两组:A组先后静注氯胺酮0.5mg/kg和丙泊酚2mg/kg麻醉;B组单用丙泊酚2mg/kg。术中若有身体扭动抵抗以影响手术操作时,可酌情追加丙泊酚0.5mg/kg。比较两组镇痛效果、意识恢复时间、恢复正常行走时间、丙泊酚用量和不良反应。结果观察组较对照组镇痛效果好,手术并发症少,差异有统计学意义。结论小剂量氯胺酮联合丙泊酚用于门诊无痛可视人流镇痛效果好,无不良反应。
Objective To observe the effect of low-dose ketamine combined with propofol anesthesia in visual abortion. Methods One hundred and sixty patients who voluntarily received termination of pregnancy within 10 weeks of gestation were randomly divided into two groups: group A received intravenous ketamine 0.5 mg / kg and propofol 2 mg / kg, while group B received propofol 2 mg / kg . Intraoperative torsion resistance if the body to affect the operation, may be appropriate to add propofol 0.5mg / kg. The analgesic effect, conscious recovery time, normal walking time, dosage of propofol and adverse reactions were compared between the two groups. Results The observation group than the control group analgesic effect, less surgical complications, the difference was statistically significant. Conclusion Low-dose ketamine combined with propofol for outpatient painless visual flow of analgesic effect, no adverse reactions.