CAJ | 학술논문

目的评价地佐辛与瑞芬太尼用于人流术的麻醉效果.方法120例行人流术的患者分为两组,D组静脉注射地佐辛;R组静脉瑞芬太尼,1min后以持续泵注.随后静注异丙酚.记录麻醉开始诱导前(T0)、意识消失时(T1)、扩宫颈时(T2)及术毕苏醒时(T3)的MAP、SpO2、HR;记录苏醒时间及异丙酚总用量;记录不良反应发生率及患者清醒后5min、10min、20min及离院时的VAS评分.结果 T1、T2、T3时点MAP、HR较T0低(P<0.05);T1、T2时点SPO2较T0低(P<0.05).D组患者不良反应的发生率低于R组(P<0.05).10min、20min、离院时VAS评分D组低于R组(P<0.05).结论地佐辛复合异丙酚用于人流术镇痛效果确切,值得推广.
목적평개지좌신여서분태니용우인류술적마취효과.방법120례행인류술적환자분위량조,D조정맥주사지좌신;R조정맥서분태니,1min후이지속빙주.수후정주이병분.기록마취개시유도전(T0)、의식소실시(T1)、확궁경시(T2)급술필소성시(T3)적MAP、SpO2、HR;기록소성시간급이병분총용량;기록불량반응발생솔급환자청성후5min、10min、20min급리원시적VAS평분.결과 T1、T2、T3시점MAP、HR교T0저(P<0.05);T1、T2시점SPO2교T0저(P<0.05).D조환자불량반응적발생솔저우R조(P<0.05).10min、20min、리원시VAS평분D조저우R조(P<0.05).결론지좌신복합이병분용우인류술진통효과학절,치득추엄.
Objective To investigate the analgesic effect of dezocine and remifentanil for artificial abortion. Methods One hundred and twenty patients who suffered from artificial abortion in our hospital were randomly divided into two groups: group D and group R. Group D was treated with dezocine combined with propofol, and group R was treated with propofol and remifentanil. The MAP, SPO2 and HR were recorded at before induction of anesthesia(T0), lost consciousness(T1), beginning of cervical dilatation(T2), awaking from anesthesia(T3). The time of recovery and the total dosage of propofol, and the incidence adverse reactions were also recorded. The visual simulation scores(VAS) were also recorded and analyzed at the time point of 5, 10, 20 min after recovery from anesthesia and leave the hospital. Results The MAP and HR at T1, T2, T3 were lower than that at T0 in two groups. The SpO2 at T1 and T2 was lower than T0. The incidence of respiratory depression, dizziness cough, postoperative nausea and vomiting in group D was lower than in group R. The VAS score at the time point of 10, 20min and leave the hospital in group D was lower than in group R. Conclusion Dezocine combined with propofol for artificial abortion has the advantage exact postoperative analgesia and can be safely and effectively used for artificial abortion.