摘要
目的:探讨异丙酚静脉麻醉用于无痛人工流产术(人流)的临床疗效。方法:选取我院妇产科自2009年12月至2010年6月收治的自愿要求进行无痛人工流产术者150例作为观察组,并选取同时期行普通人流术者150例最为对照组,观察组采用异丙酚静脉麻醉后进行手术,对照组不采用任何麻醉药物。观察对比两组孕妇镇痛效果、宫口松弛度、手术时间、出血量及人工流产综合征的发生情况。结果:观察组患者均为无痛(100.00%),与对照组相比有显著性差异(P<0.01)。两组的手术时间、出血量比较均无显著性差异(P>0.05)。观察组孕妇的宫颈松弛度成功率明显高于对照组(P<0.01)。观察组无人工流产综合征发生,对照组发生率为12.67%,两组比较有显著性差异(P<0.01)。结论:异丙酚用于无痛人工流产麻醉疗效好,能有效减轻患者痛苦,并提高手术质量和安全性,值得临床推广应用。
Objective ： To investigate the clinical efficacy of propofol intravenous anesthesia for the cases with painless induced abortion. Method： 150 cases voluntarily required painless induced abortion admitted in the maternity of our hospital from Dec. 2009 to Jun. 2010 were considered as the observation group, and selected 150 cases with ordinary abortion at the same period as the control group. The observation group was given propofol intravenous anesthesia, while the control group did not use any anesthetic drugs. The analgesic effect, cervix laxity, operative time, blood loss and the incidence of abortion syndrome were compared between the two groups. Result： The patients in the observation group had free pain （ 100.00% ） , there was significant difference compared with the control group （ P〈0.01 ） ; There were no significant differences in surgical time and blood loss between the two groups （ P〉0.05 ）; The success rate of cervical laxity in the observation group was higher than the control group （P〈0.01 ）; The observation group had no cases with abortion syndrome while the rate of abortion syndrome in the control gtoup was 12.67%, there was significant difference between the two groups （P〈0.01 ） Conclusion： Propofol anesthesia for induced abortion is effec- tive, and it can effectively reduce pain and improve quality and safety of the surgery, It is worthy to be applied in clinical.
出处
《河北医学》
CAS
2012年第6期749-751,共3页
Hebei Medicine
关键词
异丙酚
无痛人工流产术
临床观察
Propofol
Painless artificial abortion
Clinical observation
