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目的观察米索前列醇加丙泊酚用于人工流产的临床效果。方法将我院2007年1月至12月妊娠42～70 d,自愿无痛人工流产的妊娠妇女随机分为两组,试验组经阴道用米索前列醇0.4 mg,于人工流产术前4～6 h置于阴道后穹窿+丙泊酚静脉麻醉,对照组单纯用丙泊酚静脉麻醉。结果试验组在手术时宫颈软化程度、宫口大小、术中出血量、子宫收缩情况、人工流产综合征的发生率等方面明显优于对照组。结论丙泊酚无痛人工流产加米索前列醇术前2 h放置简单易行,软化宫颈、扩张宫颈简便、安全、有效,能有效减轻妇女人工流产时的痛苦,预防人工流产并发症的发生,安全性高,值得推广。
Objective To observe the clinical effect of misoprostol plus propofol for induced abortion. Methods Pregnant women in our hospital from January 2007 to December 2007 with gestational age ranging from 42 to 70 days were randomly assigned to two groups. The vaginal misoprostol (0.4 mg) 6 h placed in vaginal fornix + propofol intravenous anesthesia, the control group was simply intravenous propofol anesthesia. Results In the experimental group, the degree of cervical softening, the size of cervix, the amount of intraoperative bleeding, the uterine contractions and the incidence of induced abortion were significantly better than those in the control group. Conclusion Propofol painless abortion plus misoprostol 2 h before surgery is easy to place, soften the cervix, the expansion of the cervix is simple, safe and effective, can effectively reduce the pain of women in induced abortion and prevent the occurrence of abortion complications High security, worth promoting.