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目的:观察丙泊酚静脉全麻在无痛人工流产术中的临床效果。方法:选择216例门诊要求人工流产的早孕妇女分为观察组和对照组,观察组108例,采用丙泊酚静脉全麻实施无痛人流,对照组108例行常规人流术,对两组监测指标进行临床比较,采用2检验。结果:观察组镇痛有效率为100%,对照组镇痛有效率39.8%,两组比较,P<0.05。观察组宫口松弛率86%,对照组宫口松弛率7%。两组比较有显著性差异,观察组无人流综合征发生,对照组人流综合征发生率为29%。两组阴道出血量比较,P>0.05,差异无统计学,观察组用丙泊酚无不良反应发生。结论:丙泊酚静脉全麻用于人工流产术有较好的镇痛作用、效果确切,有宫口松弛作用、降低人工流产综合征发生率、不增加阴道出血量及手术时间等优点。为人工流产较为理想的麻醉方法,值得临床推广。
Objective: To observe the clinical effect of propofol intravenous anesthesia in painless artificial abortion. Methods: A total of 216 pregnant women with abortion requiring abortion were randomly divided into observation group (108 cases) and control group (108 cases). Intravenous general anesthesia with propofol was used to treat painless and control group (108 cases) Indicators for clinical comparison, using 2 test. Results: The analgesic effective rate was 100% in the observation group and 39.8% in the control group, P <0.05. The observation group cervix relaxation rate of 86%, the control group cervix relaxation rate of 7%. There were significant differences between the two groups, observation group no flow syndrome, control group, the incidence of flow syndrome was 29%. Two groups of vaginal bleeding volume, P> 0.05, the difference was not statistically significant, the observation group with propofol without adverse reactions. Conclusion: Propofol intravenous anesthesia for abortion has a better analgesic effect, with the exact effect of cervix relaxation, reducing the incidence of induced abortion syndrome, vaginal bleeding does not increase the amount of time and operation advantages. The ideal anesthesia for induced abortion is worthy of clinical promotion.