龚 丽

目的：探寻理想的无痛人流麻醉方案，分析丙泊酚、瑞马唑仑的麻醉效果。方法：在2023.5-2024.6期间，择取无痛人流手术麻醉患者100例，经信封法分组，有2组，是丙泊酚组（n=50例，丙泊酚麻醉）、瑞马唑仑组（n=50例，瑞马唑仑麻醉）。结果：各组血流动力学、不良反应比较有差异（P＜0.05），各组麻醉效果比较无差异（P＞0.05）。结论：丙泊酚、瑞马唑仑均可在无痛人流麻醉中发挥显著效果，后者的应用价值更显著，可稳定血流动力学，且用药安全性高。

瑞马唑仑；丙泊酚；无痛人流手术；血流动力学；不良反应；麻醉效果

[1] MOGES MITTIKU,YOHANNES,TAMIRU,ANIMUT TAGELE,RADE,BAYEW KELKAY.The significant influence of history of induced abortion on the utilisation of long-acting reversible contraceptive methods in the immediate post abortion period,Northern Ethiopia[J].The European journal of contraception&reproductive health care:the official journal of the European Society of Contraception,2021,26(5):367-373. [2] HOLMLUND,SUSANNA,JUNTTILA,NIINA,AROMAA,MINNA,et al.Induced abortion has no psychological effect on early parental self-efficacy and psychological well-being:The Steps to the Healthy Development and Well-being of Children study[J].Acta Obstetricia et Gynecologica Scandinavica:Official Publication of the Nordisk Forening for Obstetrik och Gynekologi,2021,100(4):751-757. [3] 吴向群,黄伶慧,朱守峰,等.瑞马唑仑与丙泊酚在无痛人工流产术中应用的麻醉效果和安全性比较[J].国际麻醉学与复苏杂志, 2023,44(2):170-173. [4] LIU,JINLIN,DUAN,ZHUQING,ZHANG,HAIRUI,et al.Prevalence and risk factors for repeat induced abortion among Chinese women:a systematic review and meta-analysis[J].The European journal of contraception&reproductive health care:the official journal of the European Society of Contraception,2021,26(6):513-522. [5] YUTA INOUE,YUKO OHNO,TOMOTAKA SOBUE,et al.Impact of the Great East Japan Earthquake on spontaneous abortion and induced abortion:A population‐based cross‐sectional and longitudinal study in the Fukushima Prefecture based on the census survey of the Fukushima maternity care facility and vital statistics[J].The journal of obstetrics and gynaecology research,2023,49(3):812-827. [6] KRISTIANSEN,MARIANNE BOGEN,SHAYO,BENJAMIN C.,PHILEMON,RUNE,et al.Medical management of induced and incomplete first-trimester abortion by non-physicians in low-and middle-income countries:A systematic review and meta-analysis of randomized controlled trials[J].Acta Obstetricia et Gynecologica Scandinavica:Official Publication of the Nordisk Forening for Obstetrik och Gynekologi,2021,100(4):718-726. [7] 李凯凯.舒芬太尼联合丙泊酚用于无痛人流麻醉的效果及对人流后宫缩痛的影响[J].世界最新医学信息文摘(连续型电子期刊),2021,21(22):155-156. [8] 牛民强,谢小娟,司建洛.依托咪酯辅助丙泊酚麻醉对无痛人流手术患者麻醉效果的影响[J].四川生理科学杂志, 2023,45(9):1563-1566. [9] 颜雪,熊彦青,郭小菊.右美托咪定复合丙泊酚静脉靶控输注在无痛人流中的应用价值及对预后结局的影响[J].当代医学, 2022,28(14):115-117. [10] 刘坤文,王纯玉,李飞.不同剂量纳布啡复合丙泊酚对无痛人流术麻醉效果及术后早期炎症应激反应的影响研究[J].贵州医药, 2023,47(12):1900-1902. [11] 朱霞,李加凯,朱贵芹,等.耳穴揿针疗法对丙泊酚复合瑞芬太尼在无痛人流术中的影响研究[J].实用妇科内分泌电子杂志, 2022,9(17):39-41. [12] 黄理进,张婵娟,吕夏,等.探析地佐辛与芬太尼分别复合丙泊酚麻醉在无痛人流中的应用效果[J].中国实用医药, 2021,16(33):161-163. [13] 李富辉,才让本,切江加.高海拔地区无痛人流术中使用丙泊酚联合不同剂量舒芬太尼的麻醉效果观察[J].青海医药杂志, 2021,51(11):20-21. [14] 杨航,陆方舟,袁鹏,等.艾司氯胺酮复合不同剂量丙泊酚在无痛人流术中的应用分析[J].南京医科大学学报(自然科学版), 2023,43(10):1407-1412. [15] 徐浩,江忠标.瑞马唑仑联合纳布啡在门诊无痛人流术中的临床观察[J].实用妇科内分泌电子杂志,2024,11(11):71-73.

点击下载PDF