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目的:探讨将丙泊酚麻醉用于无痛人流术的疗效。方法:随机将500例终止妊娠者分组:丙泊酚组(250例)和人流术组(250例)。对人流术组的250例不经药物麻醉行一般人流术,对丙泊酚组的250例经丙泊酚麻醉行无痛人流手术。随后,比较人流术组和丙泊酚组的不良反应以及镇痛效果、术中出血量、手术时间等情况。结果:丙泊酚组的手术时间比人流术组短,P<0.05;丙泊酚组的出血量比人流术组少,P<0.05;丙泊酚组的镇痛效果比人流术组强,P<0.05;丙泊酚组显现人流综合征(不良反应)的概率比人流术组低,P<0.05。结论:经丙泊酚麻醉行无痛人流手术能使有终止妊娠意愿的女性减轻痛苦,并且使术中出血量、手术时间、人流综合征几率得以减少,应予以临床推广。
Objective: To investigate the efficacy of propofol anesthesia for painless abortion. Methods: One hundred and fifty cases of termination of pregnancy were randomized into two groups: propofol group (250 cases) and abortion group (250 cases). In the abortion group, 250 patients underwent general abortion without drug anesthesia, and 250 patients in the propofol group were given painless abortion by propofol anesthesia. Subsequently, the adverse reactions of the abortion group and the propofol group and the analgesic effect, intraoperative blood loss, operation time and so on were compared. Results: The operation time of propofol group was shorter than that of abortion group (P <0.05). The bleeding volume of propofol group was less than that of abortion group (P <0.05). The analgesic effect of propofol group was stronger than that of abortion group, P <0.05. The probability of developing flow syndrome (adverse reaction) in propofol group was lower than that in abortion group (P <0.05). Conclusion: Painless abortion with propofol anesthesia can relieve the pain of women who have the expectation of termination of pregnancy and reduce the risk of intraoperative blood loss, operation time and flow syndrome and should be promoted clinically.