CAJ | 학술논문

目的:比较羟考酮、芬太尼复合丙泊酚用于无痛人流麻醉效果的有效性、安全性及可行性.方法:将我院2014年10月-2015年2月收治的120例早孕妇女随机分成两组 ,每组60例.分别为羟考酮复合丙泊酚组(A组)和芬太尼复合丙泊酚组(B组).观察两组患者麻醉药物起效时间、苏醒时间、麻醉效果和丙泊酚用量 ,记录所有患者手术前、术中及术后的血压(BP)、心率(HR)、指脉血氧饱和度(SpO2 )、相对危险度值、术后宫缩痛及不良反应发生的例数.结果:两组术中BP、SpO2 的差值比较 ,差异无统计学意义(P>0 .05) ,两组患者麻醉药物起效时间、发生体动例数 ,差异无统计学意义(P>0 .05) ,A组术毕清醒时间和全程丙泊酚用量均少于B组(P<0 .05) ,术中呼吸抑制和术后恶心呕吐发生率B组明显高于A组(P<0 .05) ,苏醒期兴奋躁动发生率 A 组明显低于B组(P< 0 .05) ,B组术后宫缩痛VAS评分高于A组(P<0 .05).结论:羟考酮联合丙泊酚麻醉效果好、安全性高 ,是一种更有效、可行的无痛人流麻醉方法.
목적:비교간고동、분태니복합병박분용우무통인류마취효과적유효성、안전성급가행성.방법:장아원2014년10월-2015년2월수치적120례조잉부녀수궤분성량조 ,매조60례.분별위간고동복합병박분조(A조)화분태니복합병박분조(B조).관찰량조환자마취약물기효시간、소성시간、마취효과화병박분용량 ,기록소유환자수술전、술중급술후적혈압(BP)、심솔(HR)、지맥혈양포화도(SpO2 )、상대위험도치、술후궁축통급불량반응발생적례수.결과:량조술중BP、SpO2 적차치비교 ,차이무통계학의의(P>0 .05) ,량조환자마취약물기효시간、발생체동례수 ,차이무통계학의의(P>0 .05) ,A조술필청성시간화전정병박분용량균소우B조(P<0 .05) ,술중호흡억제화술후악심구토발생솔B조명현고우A조(P<0 .05) ,소성기흥강조동발생솔 A 조명현저우B조(P< 0 .05) ,B조술후궁축통VAS평분고우A조(P<0 .05).결론:간고동연합병박분마취효과호、안전성고 ,시일충경유효、가행적무통인류마취방법.
Objective:To comparison of oxycodone ,fentanyl and propofol for effectiveness ,safety and feasibility ofan-esthesia painless abortion effect .Methods:120 cases of early pregnant women were randomly divided into two groups . Each group had 60 cases .Oxycodone combined with propofol group (group A) and fentanyl combined with propofol group (group B) .Observation of two groups of patients with anesthesia onset time ,recovery time ,the dosage of propofol anesthesia effect and the records of all patients before surgery ,and intraoperative and postoperative blood pressure (BP) ,heart rate (HR) ,pulse oxygen saturation (SpO2) ,relative risk value and postoperative uterine contrac-tion pain and adverse reaction cases .Results:In the A group compared with B group ,the two groups of BP ,SPO2 value , the difference was not statistically significant (P>0 .05) ,drug onset time ,moving cases ofanesthesia in two groups of patients ,the difference was not statistically significant (P>0 .05) ,A group ,postoperative recovery time and total propofol dosage was less than B group (P<0 .05) ,apnea and intraoperative and postoperative nausea and vomiting rate of B group was significantly higher than A group (P<0 .05) ,awakening period agitation incidence rate was lower in group A than in group B (P<0 .05) ,B group of uterine contraction pain VAS score was higher than that of group A (P<0 .05) .Conclusion:Oxycodone combined with propofol anesthesia effect is good ,high safety ,anesthesia is a more effective and feasible painless artificial abortion .