学术论文

      三种无痛人工流产术麻醉方案的临床对比研究

      Clinical comparative study of three kinds of anesthesia for painless induced abortion

      摘要:
      目的:分析无痛人流术不同麻醉方案的麻醉、镇静效果及安全性,为无痛人流术麻醉方案选择提供参考.方法:2016年6月期间来我院行人工流产术的患者150例,将其按就诊顺序编号,采用数字随机表法将其随机分为A、B、C三组,每组50例.A组采用丙泊酚+芬太尼麻醉、B组采用地佐辛+依托咪酯麻醉、C组采用异丙酚+芬太尼麻醉,比较三组患者麻醉诱导时间、麻醉效果评级、Ramsay镇静评分、苏醒时间、术后下腹部视觉模拟评分及宫缩疼痛视觉模拟评分.结果:A组患者麻醉诱导时间、麻醉效果评级、Ramsay镇静评分满意率、苏醒时间、术后下腹部疼痛VAS评分及宫缩疼痛VAS评分分别为:(5.7±0.4)s、(2.2±0.3)级、80.0%、(5.9±0.6)min、(4.5±0.4)分、(3.7±0.3)分,B组患者分别为:(5.4±0.5)s、(1.8±0.2)级、90.0%、(5.7±0.5)min、(4.1±0.3)分、(3.2±0.3)分,C组患者分别为:(5.6±0.5)s、(2.1±0.3)级、82.0%、(6.1±0.6) min、(4.6±0.5)分、(3.5±0.4)分.B组患者各项指标均优于A组和C组患者,且麻醉效果及术后下腹部疼痛评分和宫缩痛评分均明显低于A组和C组(P<0.05).结论:地佐辛+依托咪酯对实施人流术的患者进行麻醉,麻醉效果好,安全性高,可降低患者术后下腹痛级宫缩痛.
      Abstract:
      Objectives:To analyze the effect and safety of anesthesia,sedation and safety of different anesthesia methods in painless artificial abortion,so as to provide reference for the selection of anesthesia methods for painless induced abortion.Methods:150 cases of artificial abortion in our hospital in June 2016 were selected.According to the order number,they were randomly divided into three groups,with 50 cases in each group.The group A received propofol + fentanyl anesthesia,group B received dezocine + etomidate anesthesia and group C received propofol + fentanyl anesthesia.Anesthesia induction time,anesthesia effect rating,Ramsay score,recovery time,postoperative abdominal visual simulation score and contraction visual analogue score were compared.Results:Anesthesia induction time,anesthesia effect rating,Ramsay score,recovery time,postoperative abdominal visual simulation score and contraction visual analogue score of group A were (5.7 ± 0.4) s,(2.2 ± 0.3),80%,(5.9 ± 0.6) min,(4.5 0.4)and(3.7 ±0.3);group B were (5.4±0.5)s,(1.8 ±0.2),90%,(5.7 ±0.5)min,(4.1 ±0.3) and (3.2±0.3);group C were (5.6 ±0.5)s,(2.1 ±0.3),82%,(6.1 ±0.6)min,(4.6 ±0.5)and(3.5 ± 0.4).These indexes of group B were better than these of group A and group C (P < 0.05).Conclusion:Dezocine + etomidate anesthesia for painless induced abortion has good anesthetic effect,with high safety,which can reduce postoperative abdominal pain level of uterine contraction pain.
      作者: 陈有英 [1] 周中 [2]
      Author: CHEN Youying [1] ZHOU Zhong [2]
      作者单位: 琼海市人民医院麻醉科,海南琼海,571400 重庆市荣昌区人民医院妇产科,重庆,402460
      刊 名: 中国性科学 ISTIC
      年,卷(期): 2017, 26(11)
      分类号: R169.42
      在线出版日期: 2017年12月22日
      基金项目: 重庆市卫计委2015年医学科研计划项目