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目的研究红霉素、替硝唑、地卡因、阿托品,地西泮续贯应用在人工流产中的应用价值。方法选择2008年10月～2009年4月我院妇产科收治的52例要求终止计划外妊娠的门诊早孕女性,应用红霉素、替硝唑以预防感染,地卡因宫颈内膜表面麻醉,阿托品预防迷走神经反射,地西泮镇静,将相关技术指标与同期相匹配的56例芬太尼、异丙酚无痛人工流产组进行对比。结果红霉素-替硝唑,地卡因、阿托品、地西泮方案组手术前后平均A应和下降幅度显著低于无痛人流组(P<0.01),宫颈松驰作用显著优于无痛人流组(P<0.01),手术用时、术中出血量、术后子宫出血停止时间均显著低于无痛人流组(P<0.01)。结论红霉素、替硝五-地卡因-阿托品,地西泮方案在人工流产终止早孕有很好的综合价值。
Objective To study the value of continuous use of erythromycin, tinidazole, dexamethasone, atropine and diazepam in induced abortion. Methods From October 2008 to April 2009, 52 cases of outpatients with unplanned pregnancy were enrolled in our hospital from January 2008 to April 2009. Erythromycin and tinidazole were used to prevent infection. , Atropine to prevent vagal reflex, diazepam sedation, the relevant technical indicators with the same period matched 56 cases of fentanyl, propofol painless abortion group were compared. Results The average A and decrease amplitude of erythromycin-tinidazole, dexamethasone, atropine and diazepam in the patients before and after operation were significantly lower than those in painless patients (P <0.01), and cervical relaxation was significantly better than those without pain In the abortion group (P <0.01), operation time, intraoperative blood loss and postoperative uterine bleeding stop time were significantly lower than those in the painless abortion group (P <0.01). Conclusion Erythromycin, tetracycline-tetracaine-atropine, diazepam regimen in abortion termination of early pregnancy has a good overall value.