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目的探讨一种有效地、经济的、方便的人流术镇痛方法。方法我院2010年1月至2011年6月在我院门诊自愿行人流术的患者308例分为四组,A组予以丙泊酚静脉麻醉;B组予以盐酸哌替啶及异丙嗪静脉镇痛;C组宫颈局部浸润麻醉,D组未用任何麻醉,在镇痛效果、宫颈扩张效果、不良反应等反面比较。结果丙泊酚静脉麻醉效果最好,宫颈扩张效果好,不良反应少,麻醉后恢复快,但费用较高,需麻醉师监护条件较高。盐酸哌替啶及异丙嗪静脉镇痛效果较好,但有效率低于丙泊酚麻醉效果,费用较低,不需麻醉师监护。宫颈局部浸润麻醉,有效率较低,但操作简单,费用较低。结论可以根据患者对疼痛的敏感程度及经济条件选用合适的麻醉方法,盐酸哌替啶及异丙嗪静脉镇痛效果较好,虽然有效率低于丙泊酚麻醉效果,但费用较低,不需麻醉师监护,操作简单,值得临床应用。
Objective To explore an effective, economical and convenient method of artificial abortion. Methods A total of 308 patients in our hospital from January 2010 to June 2011 were randomly divided into four groups. Group A received propofol intravenous anesthesia; Group B received pethidine hydrochloride and promethazine Analgesia; C group of cervical infiltration anesthesia, D group without any anesthesia, analgesic effect, cervical dilatation effect, side effects such as adverse reactions. Results Propofol intravenous anesthesia best, cervical dilatation effect is good, less adverse reactions, rapid recovery after anesthesia, but the higher the cost, anesthesiologists need higher custody conditions. Pethidine hydrochloride and promethazine intravenous analgesia is better, but the efficiency is lower than the propofol anesthesia, the cost is lower, without the anesthesiologist custody. Cervical local anesthesia, less effective, but the operation is simple, lower cost. Conclusions The appropriate anesthesia can be selected according to the patients’ sensitivity to the pain and the economic conditions. The intravenous analgesic effect of pethidine hydrochloride and promethazine is better. Although the effective rate is lower than that of propofol, the cost is lower. Requires anesthetist custody, simple operation, it is worth clinical application.