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无痛人流镇静镇痛策略及进展
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Abstract:
我国无痛人流手术麻醉方案现多为静脉全身麻醉，多基于以丙泊酚为代表的镇静药复合以阿片类为代表的镇痛药使用，相关麻醉方案各有其优缺点。随着近年来新型麻醉镇静镇痛药物的上市，如瑞马唑仑、艾司氯胺酮、环泊酚、阿芬太尼等，为无痛人流麻醉提供了更多选择。本文对近年来无痛人流麻醉用药相关研究进行综述，重点关注近年来上市的新型药物在无痛人流中的应用，为无痛人流麻醉用药提供参考，并对未来可能的临床应用进行展望。
The anesthesia scheme for painless abortion surgery in my country is mostly intravenous general anesthesia, which is mostly based on the use of sedatives represented by propofol combined with analgesics represented by opioids. Each relevant anesthesia scheme has its own advantages and disadvantages. With the launch of new anesthetic, sedative and analgesic drugs in recent years, such as remimazolam, esketamine, cyclopofol, alfentanil, etc., more options are provided for painless abortion anesthesia. This article reviews the research on the use of anesthetic drugs for painless abortion in recent years, focusing on the application of new drugs that have been launched in recent years in painless abortion, providing a reference for the use of anesthetic drugs for painless abortion, and looking forward to possible future clinical applications.
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