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时间:2020-05-02
《不同麻醉方法人工流产镇痛效果比较.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26卷第1期菏泽医学专科学校学报V0L.26No.12014年J0URNALOFHEZEMEDICALC0LLEGE20l4DOI:10.3969~.issn.1008—4118.2014.01.06不同麻醉方法人工流产镇痛效果比较尹风华(菏泽市第二人民医院,山东菏泽274000)摘要:目的探讨联合用药用于人工流产镇痛效果。方法实验1组静脉缓慢推注丙泊酚2mdkg,2%利多卡因5mL加阿托品1mg,配制混合药液6mL在暴露宫颈后将麻醉剂分点注射到宫颈周围。实验2组静脉缓慢推注丙泊酚2mg/kg。对照组静脉推注生理盐水5mL。所获数据采用)C和
2、t检验。结果实验l、2组显效率为100%,与对照组比较P<0.01;实验l组宫颈完全松弛和较松弛达74.2%,实验2组为46.7%,两组比较有差异非常显著性(P<0.O1)。对照组为45.8%,实验2组与对照组比较差异无显著性(P>0.05)。术中轻度呼吸抑制发生率、明显呼吸抑制发生率,实验2组显著高于实验1组(P<0.o5)。结论丙泊酚联合利多卡因、阿托品用于无痛人工流产,具有镇痛效果好、宫颈内口扩张充分、手术时间短、用药量小、费用低并可减少呼吸抑制及人工流产综合征的发生率,是安全有效的镇痛方法。关键词:丙泊酚/投药和剂量;利多卡因,投药和剂
3、量;人工流产;镇痛中图分类号:R614;R719.1文献标识码:A文章编号:1008—4118(2014)01—0010—03PropofolCombinedofLidocaineandAtropineforAbortionAnalgesiaClinicalResearchY/nFenghuarTheSecondPeopleHospitalofHeze,Heze274000,Shandong)Abstract:0bjectiveToinvestigatethepropofolcombinedanalgesiceffectoflidocainea
4、ndatropineusedforin—ducedabortion.MethodsExperimentalgroup1veinslowlypushpropofolinjectionmg/kg.2%lidocaine5mlandatro—pine1mg,confectingblended6mlofliquids.Afterthecervix.Experiment2groupsveinslowlypushpropofolinjectionmg/kg.Thecontrolgroupintravenoussalineinjection5m1.Theda
5、taobtainedbychi—squareandttest.ResultsTheex—perimentalgroup1and2showtheeficiencyof100%,comparedwithcontrolgroup(P<0.01).Experiment1setofcervi—caltotalrelaxationandarelaxationof74.2%,experimentalgroupwas46.7%,2aresimilarbetweenthetwogroupswasverysignificant(P<0.O1).Controlgro
6、upwas45.8%,andtheexperiment2groupstherewasnosignificantdifferencecom—paredwithcontrolgroup(P>O.05).Intraoperativemildrespiratorydepressionincidence,theincidenceofrespiratoryde—pression,experimentalgroupissignificantlyhigherthantheexperiment1group2(P<0.05).ConclusionPropofolc
7、om—binedoflidocaineandatropineusedinpainlessinducedabortion,hasgoodeffectofanalgesia,intracervicalmouthexpan—sionfully,shorteroperationtime,smalldose,lowcostandcanreducetheincidenceofrespiratorydepressionandartificialabortionsyndrome,etc,issafeandeffectiveanalgesicmethod.Key
8、words:Propofol/therapeuticuse;Lidocaine/administrationanddosage;Abortion;An
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