CAJ | 학술논문

目的：探讨单纯丙泊酚与丙泊酚联合小剂量芬太尼用于无痛人流麻醉的镇痛效果及安全性.方法：选择60例自愿选择无痛人流终止妊娠的早孕妇女,随机分为两组.丙泊酚联合小剂量芬太尼组30例为治疗组,单纯丙泊酚组30例为对照组,观察睫毛反射消失的时间、术毕苏醒的时间、体动的次数、药物总量等.结果：治疗组镇痛总有效率达100%,对照组镇痛总有效率86.7%,两组比较有显著性意义P〈0.05.睫毛反射消失的时间、术毕苏醒的时间,体动的次数,药物总量计算等方面,治疗组明显优于对照组,两组比较有显著性差异P〈0.01.结论：治疗组应用于无痛人流麻醉镇痛效果优于对照组,效果确切,安全可靠.
목적：탐토단순병박분여병박분연합소제량분태니용우무통인류마취적진통효과급안전성.방법：선택60례자원선택무통인류종지임신적조잉부녀,수궤분위량조.병박분연합소제량분태니조30례위치료조,단순병박분조30례위대조조,관찰첩모반사소실적시간、술필소성적시간、체동적차수、약물총량등.결과：치료조진통총유효솔체100%,대조조진통총유효솔86.7%,량조비교유현저성의의P〈0.05.첩모반사소실적시간、술필소성적시간,체동적차수,약물총량계산등방면,치료조명현우우대조조,량조비교유현저성차이P〈0.01.결론：치료조응용우무통인류마취진통효과우우대조조,효과학절,안전가고.
Objective: To investigate and compare the effect and reliability of sole propofol, and propofol together with low-dose fentanyl, in painless induced abortion. Methods: 60 early pregnant women who willingly chose painless induced abortion to terminate pregnancy were randomly divided into two groups. Patients in Group A (n=30) were anesthetized with propofol while those in Group B (n=30) were anesthetized with propofol together with low-dose fentanyl. The time for loss of eyelash reflex and palinesthesia, frequency of perioperative body movement and total drug dose were recorded. Results: The total effective rate of pain relief for propofol together with low-dose fentanyl was 100% while that for sole propofol was 86.7%, which showed significant difference between two methods (P〈0.05). The significant statistical difference was found in the time for loss of eyelash reflex and palinesthesia, frequency of perioperative body movement and total drug dose between Group A and B (P〈0.01). Conclusion: Propofol together with low-dose fentanyl is effective and reliable in painless induced abortion.