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目的:探讨静脉麻醉镇痛用于人工流产术的疗效及安全性。方法:选择2008年9月~2009年6月期间宁波市妇女儿童医院计划生育门诊收治的112例自愿接受人工流产的患者为研究对象,随机平均分为两组。麻醉组人工流产时静脉推注异丙酚;对照组人流时不用任何镇静镇痛药物。观察两组镇痛效果、人流综合征发生率、宫颈扩张程度、手术时间及出血等情况。结果:镇痛组镇痛效果显著,有效率达100%,术中平均出血量、平均手术时间、人流综合征发生率明显低于对照组(P<0.01)。结论:静脉麻醉是一种安全、有效的人流方法,是现代医学模式人性化服务的表现,值得临床进一步推广和探索。
Objective: To investigate the efficacy and safety of intravenous anesthesia analgesia for artificial abortion. Methods: From September 2008 to June 2009, Ningbo Women and Children Hospital, family planning clinic admitted 112 cases of voluntary abortion patients as the research object, were randomly divided into two groups. Intravenous injection of propofol during abortion in the anesthesia group; sedation in the control group without any sedatives. The analgesic effect, the incidence of flow syndrome, the degree of cervical dilatation, the operation time and bleeding were observed. Results: The analgesic effect of the analgesic group was significant, with an effective rate of 100%. The mean intraoperative blood loss, average operative time, and the incidence of flow syndrome were significantly lower than those in the control group (P <0.01). Conclusions: Intravenous anesthesia is a safe and effective method of human flow and is the manifestation of the humanized service of modern medical model. It is worth further clinical promotion and exploration.