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1、地佐辛预先镇痛用于无痛人工流产术的临床观察陶清梅高昌陈庆一【摘要】目的比较地佐辛与芬太尼预先镇痛复合丙泊酚静脉全麻在无痛人工流产术的效果及不良反应的影响。方法人工流产术的孕妇90例,随机均分为3组,每组30例。D组预先静脉注射地佐辛0.1mg/kg,F组预先静脉注射芬太尼1yg/kg,P组为对照组。各组均静脉注射内泊酚2mg/kg,必要时追加0.5・1.0mg/kg。观察各组呼吸循环变化。记录丙泊酚总用量、麻醉诱导时间、唤醒吋间及宫缩痛与不良反应。结果D组和F组术中血压、心率、内泊酚总用量、内泊酚注射病和体动发生率鮫P组显著降低或缩短。F组术中呼吸抑制发牛
2、率显著高于其余2组。结论地佐辛预先镇痛复合丙泊酚麻醉川于无痛人工流产术优于芬太尼复合丙泊酚麻醉和单纯丙泊酚麻醉,而目.无芬太尼的呼吸抑制作用。【关键词】地佐辛;丙泊酚;预先镇痛;人工流产Observationofdezocinepre-emptiveanalgesiaonartificialabortionTAOQing,MEIGao-chang,CHENQing-yi.DepartmentofAnesthesiology,FirstAffiliatedHospitalofAnhuiTraditionalChineseMedicalCollege,Hefe
3、i230031,China[Abstract]ObjectiveToobserveandcomparetheeffectofdezocinewithfentanylinpre-emptiveanalgesiacombinedwithpropofolintravenousanesthesiaanditsadversereactiononartificialabortion.Methodsninetypregnantwomanscheduledforabortionwererandomlydividedintothreegroups,30casesincach
4、:GroupDwithintravenousdezocine0」mg/kg,GroupFwithintravenousfentanyl1pg/kg,GroupPwithoutanalgesics,afterthatintravenouspropofol2mg/kg,andadditionalpropofol0.5-1.0mg/kg.ifnecessarywasgiven.Thechangesofrespiratoryandcirculatoiysystemweremomitored.Thetotalamountofpropofol,inductiontim
5、e,wakeuptime,uterinecontractionspainandadversereactionswererecorded.ResultsHR,MAP,propofolconsumptionandtheincidencesofsideeffectsduringtheoperationinGroupD,FweresignificantlyreducedorshortenthanthoseinGroupP,inRespiratoryinhibitionrateGroupFwassignificantlyhigherthanthatintheothe
6、rs.ConclusionDezocinepre-emptiveanalgesiacombinedwithpropofolintravenousanesthesiaduringartificialabortionhasabettereffectthanfentanylcombinedwithpropofolanesthesiaandpropofolanesthesiaalone,andhasnorespiratoryinhibitionlike.[Keywords]Dezocine;Propofol;Pre-emptiveanalgesia;artific
7、ialabortion丙泊酚具有起效快,作用时间短,苏醒快的特点,已被广泛应用于临床人工流产术,但由于其镇痛作用弱,且易发生呼吸、循环抑制,所以常需联合镇痛药使用。地佐辛(dezocine)是一种对阿片受体兼有激动和拮抗作用的药物,能产生良好的镇痛作用,且副作用少。木研究作者单位:230031合肥市安徽中医学院第一附属医院麻醉科采用地佐辛预先镇痛(preemptiveanalgesia)复合内•泊粉(propofol)用于人工流产术(下称人流术),旨在观察镇痛时呼吸循环的变化、镇痛效果及术后不良反应,并与芬太尼进行比较,现报告如下。方法孕妇入察后,用5%葡
8、萄糖溶液250mL维持静脉输液,给予鼻导管吸氧,常规监测呼吸循环变