现代妇女（医学前沿）
現代婦女（醫學前沿）
현대부녀（의학전연）
Modern Women（Frontiers of Medicine）
2014年
8期
16-17
,共2页
丙泊酚%麻黄碱%舒芬太尼%咪达唑仑%静脉全身麻醉%人工流产手术
丙泊酚%痳黃堿%舒芬太尼%咪達唑崙%靜脈全身痳醉%人工流產手術
병박분%마황감%서분태니%미체서륜%정맥전신마취%인공유산수술
Propofol%Ephedrine%Sufentanil%Midazolam%Intravenous general Anesthesia%Artificial abortion operation
研究丙泊酚复合小剂量麻黄碱、舒芬太尼、咪达唑仑静脉全身麻醉在无痛苦人工流产手术中的临床应用及安全性。选择ASAI--Ⅱ级自愿作无痛苦人工流产手术患者400例。随机分为两组，A组对照组200例，B组观察组200例。A组顺序静脉注射咪达唑仑1mg、舒芬太尼5ug、丙泊酚1---1.5mg/kg直至病人睫毛反射消失后开始人工流产手术。B组顺序静脉注射咪达唑仑1mg、舒芬太尼5ug、丙泊酚1---1.5mg/kg（丙泊酚200mg复合麻黄碱15mg）直至病人睫毛反射消失后开始人工流产手术。丙泊酚均为45---60秒缓慢注入。观察两组患者BP/R/P/SPO2的变化。A组血压下降大于30%，心率下降大于10次/分的发生率明显高于B组。丙泊酚复合小剂量麻黄碱、舒芬太尼、咪达唑仑静脉全身麻醉在人工流产手术中能显著降低循环抑制的发生率，安全性更高。
研究丙泊酚複閤小劑量痳黃堿、舒芬太尼、咪達唑崙靜脈全身痳醉在無痛苦人工流產手術中的臨床應用及安全性。選擇ASAI--Ⅱ級自願作無痛苦人工流產手術患者400例。隨機分為兩組，A組對照組200例，B組觀察組200例。A組順序靜脈註射咪達唑崙1mg、舒芬太尼5ug、丙泊酚1---1.5mg/kg直至病人睫毛反射消失後開始人工流產手術。B組順序靜脈註射咪達唑崙1mg、舒芬太尼5ug、丙泊酚1---1.5mg/kg（丙泊酚200mg複閤痳黃堿15mg）直至病人睫毛反射消失後開始人工流產手術。丙泊酚均為45---60秒緩慢註入。觀察兩組患者BP/R/P/SPO2的變化。A組血壓下降大于30%，心率下降大于10次/分的髮生率明顯高于B組。丙泊酚複閤小劑量痳黃堿、舒芬太尼、咪達唑崙靜脈全身痳醉在人工流產手術中能顯著降低循環抑製的髮生率，安全性更高。
연구병박분복합소제량마황감、서분태니、미체서륜정맥전신마취재무통고인공유산수술중적림상응용급안전성。선택ASAI--Ⅱ급자원작무통고인공유산수술환자400례。수궤분위량조，A조대조조200례，B조관찰조200례。A조순서정맥주사미체서륜1mg、서분태니5ug、병박분1---1.5mg/kg직지병인첩모반사소실후개시인공유산수술。B조순서정맥주사미체서륜1mg、서분태니5ug、병박분1---1.5mg/kg（병박분200mg복합마황감15mg）직지병인첩모반사소실후개시인공유산수술。병박분균위45---60초완만주입。관찰량조환자BP/R/P/SPO2적변화。A조혈압하강대우30%，심솔하강대우10차/분적발생솔명현고우B조。병박분복합소제량마황감、서분태니、미체서륜정맥전신마취재인공유산수술중능현저강저순배억제적발생솔，안전성경고。
Objective Study of propofol combined with small dose of ephedrine,sufentanil mida-rolam in travenous anesthesia in painless ar-tificial abortion operation:clinical application and safety of .Methods Select ASAI--Ⅱvoluntarily painless artificial abortion operation in 400 patients.Were Randomly divded into two groups:A group and 200 cases in control group,B group observation group of 200 cases.A group se-quential intravenous midazoam 1mg,sufentanil 5ug,propofol 1-1.5mg/kg until the patient eyelash reflex disappear after the start of artificial abortion operation.B group sequential intravenous midazolam 1mg,sufentanil 5ug,propofol 1-1,5mg/kf,(200mg propofoi/15mg ephedrine) until the patient eyelash reflex disappear after the start of artificial abortion operation Are45-60 seconds slow infusion of propofol.Two groups were observed in patients with BP,R,P, SPO2 changes.Results In Agroup decreased blood pressure greater than 30%,heart rate decreased more than 10times/min was significantly higher than that in B group.Conclusion Propofol combined with small dose of ephedrine,sufentanil, midazolam intravenous anesthesia in painless artificial abortion operation can significantly reduce the incidence of recurrent inhibition, higher safety.
