[1]劉思遠.地佐辛與瑞芬太尼用于無痛人工流產麻醉的效果比較[J].醫學信息,2019,(22):123-124.[doi:10.3969/j.issn.1006-1959.2019.22.040]
 LIU Si-yuan.Effect Comparison of the Dizocine and Remifentanil on Painless Artificial Abortion[J].Medical Information,2019,(22):123-124.[doi:10.3969/j.issn.1006-1959.2019.22.040]
點擊復制

地佐辛與瑞芬太尼用于無痛人工流產麻醉的效果比較()
分享到:

醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2019年22期
頁碼:
123-124
欄目:
藥物與臨床
出版日期:
2019-11-15

文章信息/Info

Title:
Effect Comparison of the Dizocine and Remifentanil on Painless Artificial Abortion
文章編號:
1006-1959(2019)22-0123-02
作者:
劉思遠
(南通大學附屬醫院麻醉科,江蘇 南通 226001)
Author(s):
LIU Si-yuan
(Department of Anesthesiology,Nantong University Affiliated Hospital,Nantong 226001,Jiangsu,China)
關鍵詞:
地佐辛瑞芬太尼丙泊酚無痛人工流產
Keywords:
DizocineRemifentanilPropofolPainless artificial abortion
分類號:
R169.42;R614
DOI:
10.3969/j.issn.1006-1959.2019.22.040
文獻標志碼:
A
摘要:
目的 觀察地佐辛與瑞芬太尼復合丙泊酚用于無痛人工流產麻醉的臨床效果。方法 選擇2018年9月~2019年5月在我院行無痛人工流產患者60例,采用隨機數字表法分為對照組和觀察組,各30例。對照組采用瑞芬太尼聯合丙泊酚麻醉,觀察組采用地佐辛聯合丙泊酚麻醉,比較兩組臨床麻醉效果、丙泊酚用量、手術時間、清醒時間、恢復定向時間、術后疼痛評分、不同時間段血壓和心率變化以及臨床不良反應發生情況。結果 觀察組麻醉總有效率優于對照組(P<0.05);觀察組丙泊酚用量、手術時間、清醒時間、恢復定向時間、術后疼痛評分均低于對照組(P<0.05);兩組麻醉前舒張壓、收縮壓、心率比較,差異無統計學意義(P>0.05);兩組手術開始5 min及術后5 min的舒張壓、收縮壓、心率均高于麻醉前,且觀察組均低于對照組(P<0.05);觀察組不良反應發生率低于對照組(P<0.05)。結論 地佐辛聯合丙泊酚用于無痛人工流產術麻醉效果優于瑞芬太尼聯合丙泊酚,同時可維持患者生命體征穩定,減輕患者疼痛,且不良反應少,臨床應用安全性良好。
Abstract:
Objective To observe the clinical effect of dizocine and remifentanil combined with propofol for anesthesia with painless artificial abortion. Methods 60 patients with painless induced abortion in our hospital from September 2018 to May 2019 were randomly divided into the control group and the observation group, 30 cases each. The control group was anesthetized with remifentanil and propofol. The observation group was treated with dizocinecombined with propofol. The clinical anesthetic effect, propofol dosage, operation time, awake time, recovery orientation time, postoperative pain were compared between the two groups. Score, changes in blood pressure and heart rate at different time periods, and clinical adverse events. Results The total effective rate of anesthesia in the observation group was better than that in the control group(P<0.05). The amount of propofol, operation time, awake time, recovery orientation time and postoperative pain score were lower in the observation group than in the control group(P<0.05); There were no significant differences in the diastolic blood pressure, systolic blood pressure and heart rate between the two groups before the anesthesia (P>0.05).The diastolic blood pressure,the systolic blood pressure and heart rate of the operation began 5 min and 5 min after the operation were higher than those before anesthesia, and the observation group was lower than the control group(P<0.05). The incidence of adverse reactions in the observation group was lower than that of the control group(P<0.05). Conclusion Dizocine combined with propofol is better than remifentanil combined with propofol in painless artificial abortion. It can maintain the patient's vital signs, reduce pain, and has fewer adverse reactions. It has good clinical application safety.

參考文獻/References:

[1]劉明,馮麗娥,傅玉純.地佐辛與瑞芬太尼復合丙泊酚用于無痛人工流產麻醉的臨床對比觀察[J].臨床和實驗醫學雜志,2016,15(5):508-510. [2]潘康娟.地佐辛肌注復合丙泊酚靜脈麻醉用于無痛人工流產術的臨床效果[J].中外醫學研究,2014,12(6):41-42. [3]趙素敏,谷志杰,蔣艷東.不同劑量瑞芬太尼用于無痛人工流產術的麻醉效果觀察[J].山東醫藥,2014,54(5):86-87. [4]王銀翠.淺述人工流產術鎮痛方法的研究進展[J].中外醫學研究,2015,11(3):153-154. [5]杜學紅.地佐辛預先給藥對丙泊酚無痛人流麻醉效果的影響[J].中國處方藥,2016,14(12):82-83.

相似文獻/References:

[1]趙 立,梁永新.瑞芬太尼聯合丙泊酚應用于食道異物取出術的麻醉效果分析[J].醫學信息,2018,(11):93.[doi:10.3969/j.issn.1006-1959.2018.11.028]
 ZHAO Li,LIANG Yong-xin.Analysis of Anesthetic Effect of Remifentanil Combined with Propofol for Removal of Esophageal Foreign Body[J].Medical Information,2018,(22):93.[doi:10.3969/j.issn.1006-1959.2018.11.028]
[2]程 燕,張 寧,郭金光.右美托咪定替代瑞芬太尼對甲狀腺手術 全麻患者術后惡心嘔吐的影響[J].醫學信息,2018,(12):83.[doi:10.3969/j.issn.1006-1959.2018.12.025]
 CHENG Yan,ZHANGN Ning,GUO Jin-guang.Effect of Dexmedetomidine in Place of Remifentanil on Postoperative Nausea and Vomiting in General Anesthesia Patients Undergoing Thyroid Surgery[J].Medical Information,2018,(22):83.[doi:10.3969/j.issn.1006-1959.2018.12.025]
[3]張 燕,王永娟.舒芬太尼復合地佐辛用于痔上黏膜環切術后自控鎮痛的劑量分析[J].醫學信息,2019,(04):140.[doi:10.3969/j.issn.1006-1959.2019.04.045]
 ZHANG Yan,WANG Yong-juan.Dose Analysis of Sufentanil Combined with Dizocine for Self-controlled Analgesia after Supraorbital Mucosal Circumcision[J].Medical Information,2019,(22):140.[doi:10.3969/j.issn.1006-1959.2019.04.045]
[4]董 鵬.瑞芬太尼復合丙泊酚在腹腔鏡手術麻醉中的應用[J].醫學信息,2019,(14):146.[doi:10.3969/j.issn.1006-1959.2019.14.048]
 DONG Peng.Application of Remifentanil Combined with Propofol in Laparoscopic Anesthesia[J].Medical Information,2019,(22):146.[doi:10.3969/j.issn.1006-1959.2019.14.048]
[5]許伯林.七氟醚聯合瑞芬太尼用于產科全身麻醉對 炎性細胞因子的影響[J].醫學信息,2019,(16):141.[doi:10.3969/j.issn.1006-1959.2019.16.047]
 XU Bo-lin.Effect of Sevoflurane Combined with Remifentanil on General Anesthesia in Obstetrics on Inflammatory Cytokines[J].Medical Information,2019,(22):141.[doi:10.3969/j.issn.1006-1959.2019.16.047]

更新日期/Last Update: 2019-11-15
中国足彩网竞彩