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氟比洛芬酯超前镇痛在门诊宫腔镜手术中的应用

Application of flurbiprofen preemptive analgesia combined with intravenous propofol anesthesia in outpatient hysteroscopy
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摘要 目的观察氟比洛芬酯超前镇痛在门诊宫腔镜手术中的作用效果。方法40例宫腔镜手术患者随机分为两组,丙泊酚组(P组)和氟比洛芬酯(F组),每组各20例。F组在麻醉前10min静脉注射氟比洛芬酯50mg。两组均静脉注射丙泊酚2mg/kg麻醉诱导,术中麻醉维持采用丙泊酚6—8mg/(kg·h)恒速输注,术中出现体动追加注射丙泊酚20mg。记录两组患者的睫毛反应消失时间、苏醒时间、自动坐起时间及不良反应。结果F组患者的自动坐起时间明显短于P组(P〈0.05)。F组患者术后恶心的发生率低于P组(P〈0.05),而头晕的发生率高于P组(P〈0.05)。结论氟比洛芬酯超前镇痛用于门诊宫腔镜手术中,具有良好的恢复质量,可缩短门诊宫腔镜患者的就诊时间,并降低术后恶心的发生率。 Objective To investigate the effect of flurbiprofen preemptive analgesia combined with intravenous propofol anesthesia in outpatient hysteroscopy. Methods 40 women ( ASA class I) undergoing hyste- roscopy were randomly divided into propofol group ( P group) and flurbiprofen group ( F group ). All groups had intravenous induction with 2 mg/kg propofol and maintained with 6-8 mg/kg/h propofol. In F group, the patients were given 50 mg flurbiprofen 10 min before the operation. The eyelash reflex vanished time, recovery time, auto- sitted time and adverse effect were recorded. Results The auto-sitted time was shorter in F group than that in P group. F group had lower incidence of nausea than P group, but had higher incidence of dizziness than P group. Conclusion Flurbiprofen preemptive analgesia combined with intravenous propofol have good recovery and can reduce the visiting hospital time of patients in hysteroscopy.
出处 《中国临床实用医学》 2010年第5期62-64,共3页 China Clinical Practical Medicine
关键词 氟比洛芬酯 宫腔镜下手术 超前镇痛 Flurbiprofen Pre-emptive Hysteroscopy
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