盐酸芬太尼与麻黄碱对微管可视无痛人流术患者麻醉效果 的比较研究

目的:对比评价盐酸芬太尼与麻黄碱对于微管可视无病人流术患者麻醉后术中血流动力学、脑电参数以及术后苏醒时间的变化,为微管可视无病人流术合理选择麻醉剂提供数据依据.方法:选择进入我院进行微管可视无痛人流术患者180例,随机分为2组,每组90例,分别为盐酸芬太尼组与麻黄碱组.观察记录麻醉后患者术中心率(Heart rate,HR),血氧饱和度(Pulse oximetry,SpO2),收缩压(Systolic blood pressure,SBP),舒张压(Diastolic blood pressure,DBP),脑电双频指数(Bispectral index,BIS)以及术后苏醒时间(Recovery time,RT),并进行统计学分析.结果:1.盐酸芬太尼组患者术中BIS指数显著低于麻黄碱组(P＜0.05),RT 显著低于麻黄碱组(P＜0.05).2.盐酸芬太尼组与麻黄碱组的HR,SpO2,SBP,DBP比较均无统计学差异(P＞0.05).结论:说明盐酸芬太尼在微管可视无痛人流术中麻醉效果优于麻黄碱.

The Comparison of the Effects of Fentanyl Hydrochloride and Ephedrine to the Patients of Microtubules Visible Painless Abortion

Objective:To compare the changes of hemodynamic and EEG,recovery time after using the fentanyl hydrochloride and ephedrine,and to provide a sensible anesthetic for microtubules visible painless abortion.Methods:We chose 180 patients who entered our hospital and took microtubules visible painless abortion,then divided them into 2 groups randomly,the fentanyl hydroch-loride group and ephedrine group,each group had 90 patients.During the operation,we monitored the pulse oximetry,systolic blood pressure,diastolic blood pressure,bispectral index and recovery time,then analyzed all the data through SPSS.Results:1.The BIS of fentanyl hydrochloride group is significant lower than the ephedrine group(P<0.05),the recovery time of fentanyl hydrochloride group is significant shorter than the ephedrine group(P<0.05);2.The fentanyl hydrochloride group and ephedrine group’s HR(Heart rate),SpO2(Pulse oximetry),SBP(Systolic blood pressure),DBP(Diastolic blood pressure) do not have statistics difference(P>0.05).Conclusion:The results show that the effects of fentanyl hydrochloride is better than ephedrine.