摘要
方法:30例人工流产患者随机分为两组。异丙酚组14例,药物剂量2.5～3mg/kg,安定-氯胺酮组16例,安定10mg、氯胺酮0.5mg/kg,静脉注入。结果:异丙酚诱导时间与安定-氯胺酮无显著差异,麻醉效果较满意,对呼吸、循环抑制较安定-氯胺酮重,术后恢复迅速,安全,无明显副作用。结论:异丙酚与安定-氯胺酮应用于人工流产手术各有优缺点,但异丙酚高质的术后恢复是其一大优势,更宜使用。
30 patients treated by artificial abortion were randomly divided into 2 groups. Treated group had 14 patients, who was used 2. 5-3mg/kg Propofol intravenously as anesthetic, while control group had 16 patients, who was used 10mg Diazepam and 0. 5mg/kg Ketamine intravenously Our results proved that compared with Diazepam - Ketamine group, the inducing time of Propofol had no remarkable difference; treated group got satisfied anesthetic effects, and its suppression to breath and circulation were grater; the Propofol - group patients recovered quiclly and completely after abortion, without obvious adverse effects. We concluded that as anesthetic for artificial abortion, Propofol and Diazepam - Ketamine had advantages and disadvantages respectively, while Propofol had high quality recovery affer operation and was more proper for clinical practice.
关键词
异丙酚
氯胺酮
麻醉
人工流产术
安定
Propofol
ketamine
intravenous general anesthesia
artificial abovtion
