得普利麻在人工流产中应用分析.doc

文档介绍：得普利麻在人工流产中应用分析
作者:李伟,徐永华
单位:莱阳市妇幼保健院,山东莱阳
【关键词】得普利麻;人工流产;麻醉
[摘要]目的:探讨得普利麻静脉麻醉在人工流产中受术者可接受性和耐受性。方法:人工流产1 460例按得普利麻不同剂量静脉注射,观察麻醉效果、循环、呼吸、血压及并发症。结果:最佳用量为每公斤体重2 mg~ mg,缓慢静脉推注。超出此剂量会苏醒延迟,小于此剂量麻醉效果欠佳。结论:该药安全有效,减少受术者的痛苦,接受性与耐受性好,临床称为无痛人工流产术。
Investigation on Application of Diprivan As Artificial Abortion
Li Wei,XU Yonghua
(Laiyang Women and Infant Health Hospital,Laiyang, Shandong 265200, China)
Abstract: Objective Investigation on acceptability and tolerance of general anesthesia with Diprivan as artificial 1460 persons accepting artificial abortion are injected Diprivan in vein according to different dosage, observing anesthesia effect,circulation,respiration The best dosage is 2 mg~ mg/kg with slow intravenous ing round would delay if the dosage was greater than the best anesthesia effect was bad if it was littler than Diprivan is safe, can reduce the pain lf the acceptability and tolerance of general anesthesia with Diprivan is good.
Key word:Diprivan;Artificial abortion;Anesthesia
人工流产负压吸宫术是一种避孕失败意外妊娠的主要补救措施,但在术中的痛苦常使许多受术者难以忍受,人工流产综合征亦屡见不鲜。随着医疗卫生事业的不断发展和医疗模式的转变,以及人民生活水平的不断提高,要求接受无痛治疗成为众多患者的迫切要求。得普利麻用于人工流产可获得理想效果。我院自2005年3月至2006年3月利用得普利麻静脉麻醉完成了1 460例人工流产术。确定了得普利麻静脉麻醉在人工流产手术中单次用药最适剂量,收到满意效果,现总结如下。
1 材料与方法
对象 1 460例来院终止妊娠自愿接受无痛流产手术者,年龄20岁~45岁,体重48 kg~70 kg,身高150 cm~