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目的:对比分析三种无痛人流技术的临床应用效果。方法:收集2013年1月至2014年12月,我院自愿要求实施人工流产手术的早期妊娠孕妇123例,随机分为A、B、C三组,各41例。A组行米索前列醇口服人流,B组行丙泊酚人流,C组行米索前列醇+丙泊酚人流,比较三组的手术情况及镇痛效果。结果:C组的镇痛效果以及扩宫效果显著优于A组和B组(P<0.05);三组的手术时间、术中出血量及术后宫腔收缩度无明显差异(P>0.05)。结论:米索前列醇口服联合丙泊酚注射无痛人流技术的镇痛效果以及扩宫效果更好,操作简便且副反应较少,值得推广应用。
Objective: To compare the clinical effects of three painless abortion techniques. Methods: From January 2013 to December 2014, 123 pregnant women who volunteered for abortion in our hospital were randomly divided into three groups (A, B and C), 41 cases each. A group misoprostol oral flow, B group line of propofol, C group misoprostol + propofol flow, the three groups were compared the operative conditions and analgesic effect. Results: The analgesic effect and the effect of dilation in group C were significantly better than those in group A and group B (P <0.05). There was no significant difference in operative time, intraoperative blood loss and postoperative uterine contractility between the three groups (P> 0.05 ). Conclusion: The analgesic effect of misoprostol plus painless infusion of propofol and the effect of dilation are better, the operation is simple and the side reactions are less, which is worth popularizing and applying.