摘要
目的通过异丙酚复合静脉麻醉人工流产、复合萘普生栓配合"润婷"牌套装式一次性宫腔组织吸引管人工流产、药流术对停经49 d内终止妊娠比较,寻找一种痛苦少,副作用少,安全性能高,完全流产率高的流产方法。方法选择门诊ASIS级无痛人流手术早孕患者446例(停经49 d),根据流产的妇女要求分为三组:A组采用异丙酚复合静脉麻醉(55例),B组采用复合萘普生栓配合"润婷"牌套装式一次性宫腔组织吸引管人工流产(282例);C组采用药物流产(109例)。观察各组镇痛效果、出血量、出血时间、完全流产率、术后感染率。结果异丙酚复合静脉麻醉人工流产无痛率最好;复合萘普生配合"润婷"牌套装式一次性宫腔组织吸引管人工流产的出血量最少;从出血时间来看:复合萘普生配合"润婷"牌套装式一次性宫腔组织吸引管人工流产与异丙酚复合静脉麻醉的出血时间较短为3～7 d,而药流出血时间相对较长为7～14 d;药流的完全流产率相对较低为77%,"润婷"与异丙酚效果基本相当。结论复合萘普生栓配合"润婷"牌套装式一次性宫腔组织吸引管人工流产手术安全、有效、受术者创伤小、疼痛轻、有较高的临床应用价值。
Objective To find a secure,less painful,abortion methods with less side effects and complete abortion rate by comparing intravenous anesthesia by propofol abortion,compound naproxen suppository with the ＂Run-ting＂ abortion,and medical abortion.Methods 446 cases of early pregnancy（49 days menopause） are divided into 3 groups： A,intravenous anesthesia by propofol abortion（55 cases）;B,compound naproxen suppository with the ＂Run-ting＂（282 cases）;C,medical abortion（109 cases）.Blood loss,bleeding time,complete abortion rate,and postoperative infection rates were analyzed were analyzed.Results Propofol intravenous anesthesia was group the best in painless abortion rate.The least amount of bleeding abortion was in group of compound naproxen with ＂Run-ting＂.As the least amount of bleeding induced abortion compound naproxen suppository with the ＂Run-ting＂ and intravenous anesthesia with propofol groups had a shorter bleeding time for 3~7 days,but in medical abortion group the bleeding time was relatively long for 7~14 days.The complete abortion rate of 77% was relatively low in medical abortion.Conclusion Compound naproxen suppository with the ＂Run-ting＂ abortion is safe and effective with small surgical trauma,less pain,and a higher clinical value in the near future.
出处
《安徽医药》
CAS
2012年第1期96-97,共2页
Anhui Medical and Pharmaceutical Journal
关键词
人工流产术
萘普生栓
润婷
异丙酚
药流
artificial abortion
compound naproxen
＂Run Ting＂
propofol
medical abortion
