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目的:分析丙泊酚麻醉下行无痛人工流产术的临床疗效。方法:将86例早孕患者随机分成对照组与观察组,对照组43例给予利多卡因局麻下手术治疗,观察组43例给予丙泊酚麻醉手术治疗。比较对照组与观察组在、镇痛及并发症方面的情况。结果:丙泊酚在无痛人流手术中的镇痛效果显著;人工流产综合反应0例;在宫口松弛度方面,观察组患者的宫口松弛、扩张,顺利通过6~7号扩张器39例,占90%,而对照组的宫口比较紧,难以扩张,顺利通过6~7号扩张器21例,占49%。观察组的宫颈松弛度明显要比对照组的高,具有统计学意义(P<0.05)。结论:丙泊酚麻醉下行无痛人工流产术在减轻患者痛苦的同时也提高了手术的安全性,是一种具有极高安全性与有效性且不良反应少的麻醉方法,丙泊酚成为无痛人工流产手术中最有效的镇痛药,在临床医学上被广泛应用。
Objective: To analyze the clinical efficacy of propofol anesthesia in painless artificial abortion. Methods: Eighty-six cases of early pregnancy were randomly divided into control group and observation group. In the control group, 43 cases were treated with lidocaine under local anesthesia. In the observation group, 43 cases were treated with propofol anesthesia. Compare the control group with the observation group in terms of analgesia and complication. Results: The analgesic effect of propofol in painless abortion was significant. The abortion reaction was induced in 0 cases. In terms of cervix laxity, the cervix in the observation group was relaxed and dilated. Cases, accounting for 90%, while the control group of cervix relatively tight, difficult to expand smoothly through the No. 6 dilator 21 cases, accounting for 49%. The cervical relaxation of the observation group was significantly higher than that of the control group, with statistical significance (P <0.05). Conclusion: The painless artificial abortion under propofol anesthesia has the advantages of reducing the pain of patients and increasing the safety of surgery. It is an anesthetic method with high safety and effectiveness with less adverse reactions, and propofol becomes Pain induced abortion in the most effective analgesics, is widely used in clinical medicine.