中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
2期
34-36
,共3页
依托米酯乳剂%咪达唑仑、芬太尼、甲氧氯普胺%无痛流产%效果
依託米酯乳劑%咪達唑崙、芬太尼、甲氧氯普胺%無痛流產%效果
의탁미지유제%미체서륜、분태니、갑양록보알%무통유산%효과
Etomidate emulsion%Midazolam%Fentanyl%Metoclopramide%Painless abortion%Effect
目的 观察依托米酯乳剂复合咪达唑仑、芬太尼、甲氧氯普胺复合用于无痛流产的效果.方法 将ASA Ⅰ～Ⅱ级无痛流产患者随机分为两组,E组患者先静脉注射咪达唑仑,芬太尼,甲氧氯普胺,再静脉注射依托米酯乳剂麻醉.B组患者先静脉注射芬太尼,再静脉注射丙泊酚麻醉.观察患者进行无痛流产的效果.结果 E组对呼吸循环影响要轻于B组,E组患者术后初醒时间早于B组,术后离院时间E组患者长于B组患者.结论 依托米酯复合咪达唑仑、芬太尼、甲氧氯普胺用于无痛流产镇痛效果效果好,对呼吸循环影响小,无明显阵孪,恶心呕吐,注射部位疼痛等副作用.
目的 觀察依託米酯乳劑複閤咪達唑崙、芬太尼、甲氧氯普胺複閤用于無痛流產的效果.方法 將ASA Ⅰ～Ⅱ級無痛流產患者隨機分為兩組,E組患者先靜脈註射咪達唑崙,芬太尼,甲氧氯普胺,再靜脈註射依託米酯乳劑痳醉.B組患者先靜脈註射芬太尼,再靜脈註射丙泊酚痳醉.觀察患者進行無痛流產的效果.結果 E組對呼吸循環影響要輕于B組,E組患者術後初醒時間早于B組,術後離院時間E組患者長于B組患者.結論 依託米酯複閤咪達唑崙、芬太尼、甲氧氯普胺用于無痛流產鎮痛效果效果好,對呼吸循環影響小,無明顯陣孿,噁心嘔吐,註射部位疼痛等副作用.
목적 관찰의탁미지유제복합미체서륜、분태니、갑양록보알복합용우무통유산적효과.방법 장ASA Ⅰ～Ⅱ급무통유산환자수궤분위량조,E조환자선정맥주사미체서륜,분태니,갑양록보알,재정맥주사의탁미지유제마취.B조환자선정맥주사분태니,재정맥주사병박분마취.관찰환자진행무통유산적효과.결과 E조대호흡순배영향요경우B조,E조환자술후초성시간조우B조,술후리원시간E조환자장우B조환자.결론 의탁미지복합미체서륜、분태니、갑양록보알용우무통유산진통효과효과호,대호흡순배영향소,무명현진련,악심구토,주사부위동통등부작용.
Objective To observe the effects of etomidate emulsion- used in painless abortion together with midazolam,fentanyl, metoclopramide. Methods The ASA Ⅰ～Ⅱ class painless abortion patients were randomly divided into two groups, Group E patients were first given midazolam, fentanyl, metoclopramide intra-venously, then anaesthetised with intravenous etomidate emulsion. Group B patients were first given fentanyl in-travenously,then anaesthetised with intravenous profol. The reactions of two groups were recorded. Results Group E patients changed less in respiration and circulation than Group B patients. Group E patients earlier woke up and later left hospital than group B patients. Conclusion Etomidate emulsion used in painless abortion together with midazolam, fentanyl, metoclopramide is similar to propofol, except patients" respiration and circula-tion change less.
