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《右美托咪定与丙泊酚用于门诊无痛人流术中麻醉效果的分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、第23卷第18期中国现代医学杂志V0l_23No.182013年6月ChinaJoumalofModemMedicineJun.2013文章编号:1005—8982(2013)18—0084—04右美托咪定与丙泊酚用于门诊无痛人流术中麻醉效果的分析李毓,邢群智,韩学昌(河南科技大学第一附属医院麻醉科,河南洛阳471003)摘要:目的研究右美托咪定和丙泊酚分别复合瑞芬太尼麻醉用于门诊无痛人流手术的临床效果。方法120例门诊择期行无痛人流手术的患者,年龄18~4O岁,ASAI~Ⅱ级,随机分为两组,每组60例:D组用右美托咪定复合瑞芬太尼做麻醉;P组用丙泊酚复合瑞芬太尼麻醉。记录入室(T。)、诱导后
2、(T)、扩宫颈(T。)、刮宫(L)、术毕(T)及术毕5min(T)六个时点的HR、MAP、Sp0和Ramsay评分和术后5min改良OAA/S评分。观察患者入睡、手术、清醒及留观时间。记录术中呼吸抑制的发生率、肢动反应的发生率、术后寒战和恶心等不良反应。结果T时,D组Ramsay评分低于P组(P<0.05);TT4时,D组SpO2高于P组(P<0.05);T1一T4时,D组MAP、HR低于P组(P<0.O5);术后5min改良OAA/S评分D组高于p组(P<0.05);患者清醒时间和留观时间D组短于P组(P3、P<0.o5)。结论右关托咪定和丙泊酚分别复合瑞芬太尼,用于门诊无痛人流手术时,均能取得良好的麻醉效果。关键词:盐酸右美托咪定;丙泊酚;瑞芬太尼;无痛人流;麻醉中图分类号:R614文献标识码:BAnalysisoftheanestheticeffectofDexmedetomidineandPropofolinoutpatientpainlessartificialabortionLIYu,XINGQun—zhi,HANXue-chang(DepartmentofAnesthesiology,theFirstAffiliatedHospitalofHenanScienceandTechnolo4、gyUniversity,Luoyang,Henan471003,P.R.China)Abstract:【objecfive】Intheoutpatientpainlessartificialabortion,studytheclinicaleffectofDexmedetomidineandPropofolrespectivelycombinedwithRemifentanil.【Methods】120patientsundergoingoutpatientpainlessarti—ficialabortionatselectivetime,1840yearsold,ASAgradeI~Ⅱ,5、wasrandomlydividedintotwogroups,60foreachgroup.IngroupD,DexmedetomidinecombinedwithRemifentanilwasusedforanesthesia;andingroupP,PlopofolcombinedwithRemifentani1wasused.RecordedtheHR,MAP,SpO2andRamsayscoreatenteringtheop—erationloom(T0),afterinducing(T1),enlargementofcervical(T2),uterinecurettage(T3)6、,operationcompleted(T4)and5minafteroperationcompleted(T5);recordedthecurettage(T3),operationcompletedG4)and5rainafteropera—tioncompleted(T;recordedtheimprovedOAA/Sscore5minaftertheoperation;recordedthetimeofsleeping,叩一eration,regainconsciousnessandobservation;recordedtheoccurrenceoftherespiratorydep7、ressionandbodyre—sponseduringtheoperation。theoccurrenceofshiver,nauseaandothersideeffectsafteroperation.【ResultslT4,theRamsayscoreinGroupDishigherthaninGroupP(P<0.05);T1~T4,theSpOzingroupDishigherthan
3、P<0.o5)。结论右关托咪定和丙泊酚分别复合瑞芬太尼,用于门诊无痛人流手术时,均能取得良好的麻醉效果。关键词:盐酸右美托咪定;丙泊酚;瑞芬太尼;无痛人流;麻醉中图分类号:R614文献标识码:BAnalysisoftheanestheticeffectofDexmedetomidineandPropofolinoutpatientpainlessartificialabortionLIYu,XINGQun—zhi,HANXue-chang(DepartmentofAnesthesiology,theFirstAffiliatedHospitalofHenanScienceandTechnolo
4、gyUniversity,Luoyang,Henan471003,P.R.China)Abstract:【objecfive】Intheoutpatientpainlessartificialabortion,studytheclinicaleffectofDexmedetomidineandPropofolrespectivelycombinedwithRemifentanil.【Methods】120patientsundergoingoutpatientpainlessarti—ficialabortionatselectivetime,1840yearsold,ASAgradeI~Ⅱ,
5、wasrandomlydividedintotwogroups,60foreachgroup.IngroupD,DexmedetomidinecombinedwithRemifentanilwasusedforanesthesia;andingroupP,PlopofolcombinedwithRemifentani1wasused.RecordedtheHR,MAP,SpO2andRamsayscoreatenteringtheop—erationloom(T0),afterinducing(T1),enlargementofcervical(T2),uterinecurettage(T3)
6、,operationcompleted(T4)and5minafteroperationcompleted(T5);recordedthecurettage(T3),operationcompletedG4)and5rainafteropera—tioncompleted(T;recordedtheimprovedOAA/Sscore5minaftertheoperation;recordedthetimeofsleeping,叩一eration,regainconsciousnessandobservation;recordedtheoccurrenceoftherespiratorydep
7、ressionandbodyre—sponseduringtheoperation。theoccurrenceofshiver,nauseaandothersideeffectsafteroperation.【ResultslT4,theRamsayscoreinGroupDishigherthaninGroupP(P<0.05);T1~T4,theSpOzingroupDishigherthan
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