CAJ | 학술논문

目的：观察不同剂量芬太尼复合异丙酚用于无痛人工流产术的麻醉效果和安全性。方法将120例ASAⅠ～Ⅱ级人工流产患者随机分为两组，即芬太尼2.0μg/kg组（A组，n=60）和芬太尼1.0μg/kg组（B组，n=60）。观察并记录两组患者麻醉前、手术中、手术结束时的血压（MAP）、心率（HR）、呼吸频率（RR）、血氧饱和度（SpO2）变化，术毕苏醒时间以及异丙酚用量、术后腹痛情况。结果 A组麻醉镇痛效果优于B组，异丙酚用药量明显减少，术后苏醒快，不良反应减少及术后腹痛满意率增高（P＜0.05）。结论适量增大芬太尼剂量应用于无痛人流术麻醉镇痛效果更佳，术后患者舒适度2.0μg/kg优于1.0μg/kg。
목적：관찰불동제량분태니복합이병분용우무통인공유산술적마취효과화안전성。방법장120례ASAⅠ～Ⅱ급인공유산환자수궤분위량조，즉분태니2.0μg/kg조（A조，n=60）화분태니1.0μg/kg조（B조，n=60）。관찰병기록량조환자마취전、수술중、수술결속시적혈압（MAP）、심솔（HR）、호흡빈솔（RR）、혈양포화도（SpO2）변화，술필소성시간이급이병분용량、술후복통정황。결과 A조마취진통효과우우B조，이병분용약량명현감소，술후소성쾌，불량반응감소급술후복통만의솔증고（P＜0.05）。결론괄량증대분태니제량응용우무통인류술마취진통효과경가，술후환자서괄도2.0μg/kg우우1.0μg/kg。
Objective To observe the anesthetic effects and satety of the fentanyl and propofol in painless artificial abortion.Methods 120 cases with ASAⅠ-Ⅱartificial abortion were randomly divided into two groups. Group A (60 cases) was anesthetized with fentanyl 1.0 μg/kg and group B (60 cases) was anesthetized with fentanyl 2.0 μg/kg. The changes of blood pressure, heart rate, breath rate and oxygen saturation were observed during the anesthesia. The dose of propofol, the time for recovery and leaving hospital and the incidence of abdominal pain after operation were recorded.Results Effective analgesia were induced in 2 groups. The results indicated that the effects in group A were better than that in group B, dosage of propofol decreased obviously, with quicker postoperative recovery, less adverse reactions and higher satisfaction (P<0.05). There was statistical signiifcance between the 2 groups.Conclusion Suitable increasing the dose of fentanyl in painless abortion have some advantages of safety and effects, the results of 2.0 μg/kg is superior to that of 1.0 μg/kg.