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目的 :探讨一种安全、有效、简便可供选择的无痛人流方法。方法 :ASAⅠ级 2 5 0例中止妊娠者随机分为异丙酚组、氯胺酮组、宫术安栓组、宫颈旁阻滞组、对照组。观察总结了手术中镇痛效果、术后恢复等情况以及静脉麻醉组对呼吸循环的影响等。结果 :静脉麻醉组镇痛完全 (P <0 0 1) ,无人流综合症发生。局部用药组均不能完全消除疼痛及人流综合症的发生。异丙酚组对呼吸循环有一过性一定抑制作用 (P <0 0 5 ) ,氯胺酮组苏醒时间长 (P <0 0 1) ,苏醒时大多有不良反应发生 (P <0 0 1)。结论 :异丙酚作用迅速 ,效果完全 ,苏醒快 ,无不良反应。在麻醉医师操作监护下不失为一种安全、有效、方便、可行良好的无痛人流方法。
Objective: To explore a safe, effective and easy to choose painless method. Methods: Twenty-five ASA stage I patients with pregnancy discontinuation were randomly divided into propofol group, ketamine group, Gongzhuan suppository group, cervical para-lateral block group and control group. Observed and summarized the analgesic effect during surgery, postoperative recovery and other venous anesthesia group on the respiratory cycle and so on. Results: Analgesia was complete in the intravenous anesthesia group (P <0.01), and no-flow syndrome occurred. Topical treatment group can not completely eliminate the occurrence of pain and flow syndrome. The propofol group had a transient inhibitory effect on the respiratory cycle (P <0 05), the ketamine group regained a long time (P 0 01), and most of the adverse reactions occurred when awake (P 0 01). Conclusion: Propofol has rapid action and complete effect, with rapid recovery and no adverse reactions. Under the anesthesiologist’s operation and supervision, after all, it is a safe, effective, convenient and feasible good painless method.