论文部分内容阅读
目的探讨间苯三酚联合丙泊酚在无痛人工流产患者中的应用价值。方法回顾性选取2013年1月至2015年6月在英德市妇幼保健院择期行无痛人工流产术患者100例,按随机数字表法分为对照组和观察组,每组50例。对照组患者给予丙泊酚1.5~2.5 mg/kg静注,观察组患者在对照组治疗的上于术前10 min静脉滴注间苯三酚80 mg,比较两组患者的手术时间、术中出血量、苏醒时间、术后疼痛视觉模拟量表(VAS)评分、不良反应及宫颈松弛效果。结果与对照组比较,观察组患者手术时间短、术后VAS评分低、宫颈松弛优良率高,差异有统计学意义(P<0.05);两组患者术中出血量及苏醒时间差异无统计学意义(P>0.05)。观察组患者恶心呕吐及呼吸抑制的发生率分别为2.0%、2.0%,显著低于对照组的16.0%、22.0%,差异有统计学意义(P<0.05)。结论间苯三酚联合丙泊酚用于无痛人工流产手术时间短,术后疼痛轻,对呼吸抑制影响小,宫颈松弛优良率高。
Objective To investigate the application value of phloroglucinol and propofol in painless induced abortion. Methods A total of 100 patients undergoing elective painless abortion at Yingde Maternal and Child Health Hospital from January 2013 to June 2015 were retrospectively selected and divided into control group and observation group according to random number table. Patients in the control group received intravenous infusion of propofol at a dose of 1.5-2.5 mg / kg. Patients in the observation group received phloroglucinol 80 mg intravenously 10 min prior to surgery in the control group. The operation time, Bleeding volume, recovery time, postoperative pain visual analog scale (VAS) score, adverse reactions and cervical relaxation effect. Results Compared with the control group, the patients in the observation group had shorter operation time, lower postoperative VAS score and higher rate of cervical relaxation, the difference was statistically significant (P <0.05). There was no significant difference between the two groups in the amount of blood loss and recovery time Significance (P> 0.05). The incidences of nausea, vomiting and respiratory depression in the observation group were 2.0% and 2.0%, respectively, which were significantly lower than those in the control group (16.0% and 22.0%, P <0.05). Conclusion The combination of phloroglucinol and propofol for painless induced abortion has a short operative time, light postoperative pain, little effect on respiratory depression and high rate of cervical relaxation.