摘要
目的:观察米非司酮联合阿托品在无痛人工流产术前应用的临床效果。方法:将200例要求行无痛人工流产的初孕妇女随机分成观察组和对照组,每组各100例,两组均采用丙泊酚复合芬太尼静脉全身麻醉,观察组于术前加用米非司酮及阿托品。比较两组的镇痛效果、术中宫颈松弛度、术中出血量、总手术时间、丙泊酚药物用量、苏醒后宫缩痛和术后并发症的发生率。结果:两组的镇痛效果均达到100%,而观察组术中宫颈松弛度好,出血量少,总手术时间缩短,丙泊酚用量少,苏醒后宫缩痛和手术并发症均减少。结论:在无痛人工流产术前加用米非司酮和阿托品,能有效扩张宫颈,缩短手术时间,减少了术中丙泊酚的用量,降低了苏醒后宫缩痛和手术并发症的发生率,值得临床医师广泛推广。
Objective To observe the clinical effect of mifepristone with atropine before painless abortion.Methods 200 pregnant women required initial painless abortion were randomly divided into observation group and control group,100 patients in each group.Both groups were given intravenous anesthesia with propofol and fentanyl,the observation group add with mifepristone and atropine before surgery.Compare of analgesic effect,cervical laxity,blood loss,total operation time,propofol drug consumption,uterine pain after recovery and surgical complications of the two groups.Results The analgesic effect of the two groups reached 100%;but in the observation group,relax of uterm cervis was better,blood loss was less,the time of operation was short,the doses of propofol were less,the pain of contractions after cecovery and surgical complications were less.Conclusion Preoperative add with mifepristone and atropine can effective expansion cervix,shorten operating time,reduce the doses of propofol,reduced the uterine pain after cecovery and surgical complications.So clinicians should be widely promoted.
出处
《吉林医学》
CAS
2011年第6期1061-1063,共3页
Jilin Medical Journal
