资源描述:
《不同配伍异丙酚麻醉在人工流产手术中的应用.doc》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、不同配伍异丙酚麻醉在人工流产手术中的应用【关键词】异丙酚摘要:目的:通过比较单纯异丙酚、异丙酚复合芬太尼、曲马多或氯胺酮四种麻醉方法,探究人工流产手术合理的异丙酚麻醉配方。方法:200例ASAⅠ~Ⅱ级、自愿终止妊娠的早孕妇女随机分为四组:P组,单纯异丙酚麻醉组;F组、T组、K组在异丙酚诱导前分别静注芬太尼0.75μg/kg、曲马多1mg/kg、氯胺酮0.2mg/kg。术中连续监测MAP、HR和SpO2。记录各组病人异丙酚的首剂量和总剂量、苏醒时间、离院时间及术中术毕不良反应的发生情况。结果:与术前比较,P组、F组
2、MAP、HR、SpO2均下降(P<0.05、P<0.01);T组、K组SpO2无下降(P>0.05);F组、T组和K组异丙酚首剂量、总剂量、意识消失时间明显低于P组(P<0.01);F组离院时间长于其余三组(P<0.05)。各组满意率100%。结论:异丙酚复合芬太尼、曲马多或氯胺酮应用于人工流产手术均可获满意的麻醉效果,其中小剂量氯胺酮或曲马多复合异丙酚值得推荐。关键词:异丙酚;芬太尼;曲马多;氯胺酮;人工流产手术ProtofolAnaesthesiaofDiffercompatibilityintheOpera
3、tionofInducedAbortionAbstract:Objective:Tocomparewith4kindsanaesthesiaofsimplicitypropofol,propofolcomplexfentanyl,tramadolorketamin,andtoresearchthereasonabledispensingofpropofolforinducedabortionoperation.Method:200forepartpregnantwomenwithASAⅠ~Ⅱgradewhofre
4、ewillstopgestation,theyweredividedinto4groupsrandomly:Pgroupwassimplicitypropofol;Fgroup,TgroupandKgroupwasmainlinedfentanyl0.75μg/kg,tramadol1mg/kg,ketamine0.2mg/kgrespectivebeforepropofolabduction,andcontinuousdetectedMAP,HR,SpO2intheoperation,andtonotefirs
5、tdosageandtotaldosageofpropofol,revivaltime,leavehospitaltime,illreactivityintheoperation.Result:Tocomparewithpreoperation,MAP,HR,SpO2weredescendedinPgroupandFgroup(P<0.05,P<0.01);SpO2wasnotdescendedinTgroupandKgroup(P>0.05),thefirstdosageandthetotal
6、dosageofpropofol,theconsciousnessdisappeartimeinFgroupandKgroupwerelowerthanPgroup(P<0.01);TheleavehospitaltimeinFgroupwaslongerthantheanotherthreegroups(P<0.05);Thesatisfactionrateineachgroupwas100%.Conclusion:Propofolassociateswithfentanyl,tramadolork
7、etaminefortheoperationofinducedabortioncangetthesatisfactionanaesthesiaeffect,inwhichsmalldoseketamineortramadolcomplex4propofolarebetter.Keywords:Propofol;Fentanyl;Tramadol;Ketamine;Inducedabortion异丙酚近年来广泛应用于门诊人工流产术的麻醉。但异丙酚镇痛作用弱,遇疼痛等强刺激时常需以深镇静来对抗。异丙酚作用时间相当短,
8、遇手术时间长者用药量过大。本研究通过比较单纯异丙酚、异丙酚复合芬太尼、曲马多或氯胺酮四种麻醉方法,探究人工流产手术合理的异丙酚麻醉配方。1资料与方法1.1一般资料:200例自愿终止妊娠的早孕妇女。ASAI~Ⅱ级,年龄17~42岁,体重41~63kg,妊娠6~9周。术前血常规、心电图、胸透均无异常。既往无肝肾及内分泌疾病,无药物过敏史。1.2麻醉方法:全部病例术前禁食、禁饮