The comparison of efficacy and safety propofol combined with remifentanil or fentanyl in painless abortion

Objective To investigate teh efficacy and safety of painless induced abortion with a combined use of propofol and remifentanil.Methods 50 patients undergoing eletive abortion were divided into two gtoups:the fentanyl group andremifentanil group. Several factors including teh dose of propofol,recovery time after anesthesia,body movement,respiration weakness and postoperation bell yache ete wee observed. blood pressure were recorded with GE Solar 8000 M monitoring.Results The total doses of propofol during anesthes in the fentanyl group was greater than that in the remifentanil group. Compared with fentanyl anesthesia induction,after indction of anesthesia Remifentanil pSB、PDB、PMA decreased singnificantly. The recovered time in the remifentanil group was qui cker than that in the fentanyl group. Respiration weakness was appeared in all remifentanil groups in the of and body movement was similar in the two groups ;Compared with remifentanil group,the rate of postoperation bdllyache in fentanyl group was increased significantly.Conclusion Target controlled infusion of remifentanil used in painless induced abortion had some advantage,but attention must be paid to respiration management.