摘要
目的比较异丙酚与依托咪酯脂乳剂单独使用以及分别伍以芬太尼用于人工流产术的麻醉效果和麻醉质量。方法选择自愿行人工流产患者120例,随机分为4组:异丙酚(P)组、芬太尼+异丙酚(PF)组、依托咪酯(E)组、芬太尼+依托咪酯(EF)组,各30例。分别观察各组麻醉前、给药后及术后的SBP、DBP、HR、SPO2、用药量、意识消失与恢复时间、定向力恢复时间、不良反应发生率以及患者和术者的满意度。结果各组的麻醉效果均令患者满意。P组、PF组对循环和呼吸有明显的抑制作用,E组肌颤发生率最高,EF组恶心呕吐发生率最高,差异有显著性(P<0.05)。结论异丙酚与依托咪酯脂乳剂均能满足人工流产术的麻醉,但就麻醉质量与安全性而言,异丙酚优于依托咪酯脂乳剂。
Objective To compare the anesthetic effect and quality of propofol and etomidate emulsion used alone as well as both combined with fentanyl for induced abortion anesthesia. Methods We selected 120 voluntary induced abortion patients and randomly divided them into 4 groups,propofol group（P group）,fentanyl ＋ propofol group（PF group）,etomidate group（E group）,and fentanyl＋etomidate group （EF group）, with 30 cases in each group. SBP, DBP, HR, SPO2 after delivery, dosage, time of consciousness loss and recovery, recovery time of orientation force, incidence of adverse reactions, satisfaction of both patients and surgeons, etc. were observed in all the groups before anesthesia, after ad- ministration and after operation. Results All patients were satisfied with anesthetic effects. P group and PF group had obvious inhibitive effects on the circulation and respiration. E group had a highest incidence of amyostasia. EF group had a highest incidence of nausea and vomiting,with a significant difference（P〈0.05）. Conclusion Both propofol and etomidate emulsion can be used for induced abortion anesthesia, and however, propofol is better than etomidate emulsion in terms of the quality and safety of anesthesia.
出处
《中国现代医生》
2010年第1期76-77,85,共3页
China Modern Doctor
关键词
异丙酚
依托咪酯
人工流产
静脉麻醉
Propofol
Etomidate emulsion
Induced abortion
Intravenous anesthesia
