中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
28期
78-79
,共2页
米索前列醇%B超引导%丙泊酚%芬太尼%无痛人流
米索前列醇%B超引導%丙泊酚%芬太尼%無痛人流
미색전렬순%B초인도%병박분%분태니%무통인류
Misoprostol%B ultrasound guidance%Propofol%Fentanyl%Painless artificial abortion
目的：探讨丙泊酚复合芬太尼在无痛人流口服米索前列醇联合术中B超引导的临床效果。方法：将200例无痛人流患者随机分成观察组和对照组各100例。对照组给予芬太尼0.5～1.0μg/kg，5 min后以丙泊酚2 mg/kg为诱导量，并根据患者情况，按照0.5 mg/kg进行追加。观察组在对照组的基础上于术前1 h口服米索前列醇400μg，联合术中B超引导。结果：观察组总有效率98.0%，明显优于对照组的62.0%(P＜0.05)；观察组手术时间、术中出血量明显少于对照组(P＜0.05)。结论：米索前列醇联合术中B超引导治疗无痛人流明显减少了术中出血量和手术时间。
目的：探討丙泊酚複閤芬太尼在無痛人流口服米索前列醇聯閤術中B超引導的臨床效果。方法：將200例無痛人流患者隨機分成觀察組和對照組各100例。對照組給予芬太尼0.5～1.0μg/kg，5 min後以丙泊酚2 mg/kg為誘導量，併根據患者情況，按照0.5 mg/kg進行追加。觀察組在對照組的基礎上于術前1 h口服米索前列醇400μg，聯閤術中B超引導。結果：觀察組總有效率98.0%，明顯優于對照組的62.0%(P＜0.05)；觀察組手術時間、術中齣血量明顯少于對照組(P＜0.05)。結論：米索前列醇聯閤術中B超引導治療無痛人流明顯減少瞭術中齣血量和手術時間。
목적：탐토병박분복합분태니재무통인류구복미색전렬순연합술중B초인도적림상효과。방법：장200례무통인류환자수궤분성관찰조화대조조각100례。대조조급여분태니0.5～1.0μg/kg，5 min후이병박분2 mg/kg위유도량，병근거환자정황，안조0.5 mg/kg진행추가。관찰조재대조조적기출상우술전1 h구복미색전렬순400μg，연합술중B초인도。결과：관찰조총유효솔98.0%，명현우우대조조적62.0%(P＜0.05)；관찰조수술시간、술중출혈량명현소우대조조(P＜0.05)。결론：미색전렬순연합술중B초인도치료무통인류명현감소료술중출혈량화수술시간。
Objective:To explore the clinical effect of oral misoprostol combined with intraoperative B ultrasound guidance in painless artificial abortion with propofol-fentanyl.Methods:200 patients with painless artificial abortion were randomly divided into the observation group and the control group with 100 cases in each.The control group were given 0.5~1.0 μg/kg fentanyl,2 mg/kg propofol as the induced dosage after 5 minutes,and superaddition 0.5 mg/kg according to the patients condition.The observation group were given oral misoprostol 400 μg before surgery 1 hour combined with intraoperative B ultrasound guidance on the basis of the control group.Results:The total effective rate(98.0%) of the observation group was significantly better than 62.0% of the control group(P<0.05).The operation time and intraoperative blood loss of the observation group was significantly less than those of the control group(P<0.05).Conclusion:Misoprostol and intraoperative B ultrasound guidance in the treatment of painless artificial abortion significantly reduce the intraoperative blood loss and operation time.
