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目的:探讨无痛人流术的优点。方法:妊娠60d内要求人工终止妊娠的妇女随机分为实验组和对照组,前者予以芬太尼、丙泊酚静脉麻醉进行无痛人流术,后者给予传统药物米非司酮片和米索前列醇施以传统人流术,比较两组病例腹痛持续时间、平均流血时间、二次清宫率。结果:实验组和对照组平均腹痛持续时间分别为5.0min和2.5h,阴道平均流血时间为3.7d和7.6d,二次清宫率分别为1.9%和9.1%(χ2=8.31,P<0.01)。结论:芬太尼加丙泊酚用于无痛人流术,镇痛效果好,流血时间短,二次清宫率明显低于普通人工流产术。
Objective: To explore the advantages of painless abortion. Methods: The women who asked for artificial termination of pregnancy within 60 days of pregnancy were randomly divided into experimental group and control group. The former was given intravenous anesthesia with fentanyl and propofol for painless abortion. The latter was given mifepristone and misoprostol Prothromycin with traditional abortion, compared the duration of abdominal pain in two groups, the average bleeding time, the second curettage rate. Results: The mean duration of abdominal pain was 5.0 and 2.5 h in the experimental group and the control group respectively. The mean vaginal bleeding time was 3.7 days and 7.6 days, and the rates of secondary clearance were 1.9% and 9.1%, respectively (χ2 = 8.31, P <0.01) . Conclusion: Fentanyl plus propofol is used for painless abortion, analgesic effect is good, bleeding time is short, the rate of second curettage is obviously lower than that of common artificial abortion.