摘要
目的:比较两种不同静脉麻醉方法行无痛人工流产术的麻醉效果。方法:择期行无痛人工流产术200例,随机分为芬太尼+丙泊酚组(A组);利多卡因+芬太尼+丙泊酚组(B组),每组100例。A组先给予芬太尼0.001～0.002mg/kg(>0.1mg便于给药按0.1mg给,以下同);再静注丙泊酚2mg/kg,注药完毕,手术开始。B组先给予芬太尼0.001～0.002mg/kg,再推注利多卡因40mg,接丙泊酚缓慢推注约1.2mg/kg,注药完毕患者入睡后,手术开始。术中手术操作有肢动,给予诱导丙泊酚量1/3～1/2。结果:B组与A组相比,镇痛更满意,双下肢肢体活动影响手术操作无,生命体征相对平稳,诱导推药对局部血管刺激性疼痛无,术中丙泊酚用量明显减少,术毕清醒及离院时间更短(P<0.01)。结论:利多卡因+芬太尼+丙泊酚用于无痛人工流产术,麻醉效果满意安全。
Objective：Comparing two different methods of intravenous anesthesia line painless artificial abortion anesthesia. Methods： Elective surgery 200 cases of induced abortion. Randomly assigned to fentanyl ＋ propofol group （A） ; lidocaine ＋ fentanyl ＋ propofol group （B）. Each group of 100 cases. A group of first fentanyl 0. 001 - 0. 002mg/kg （ 〉 0. 1 mg 0. 1 mg to facilitate the administration by the same below） ;then intravenous propofol 2mg/kg ,the injection is completed, the beginning of surgery. Group B first fentanyl 0. 001 - 0. 002mg/kg, pushed injection of lidocaine 40mg,then slow bolus of propofol of about 1.2mg/kg, the injection is completed the patient, such as sleep after surgery began. Result：Operative limb surgery are moving to give the amount of propofol induction 1/3 - 1/2. End of surgery. The results in group B compared with group A, pain is more satisfactory, both lower extremities without physical activity affect the surgical operation, a relatively stable vital signs, induction of local vascular irritation to push drugs on pain - free, the amount of intraoperative propofol significantly reduced, surgery awake and less time away from the hospital （ P 〈 0. 01 ）. Conclusion ： lidocaine ＋ fentanyl ＋ propofol for painless abortion, anesthesia satisfactory security, convenient worth wide range of clinical applications.
关键词
芬太尼
利多卡因
丙泊酚
无痛人工流产术
fentanyl medication lidocaine propofol induction sequence and method of painless abortion
