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目的:探讨丙泊酚在人工流产术中临床应用效果。方法:自愿行人工流产者720例,随机分成丙泊酚静脉麻醉组240例(A组),利多卡因宫颈局部麻醉组240例(B组),不采用任何干预措施240例(C组),术中常规使用心电监护BP、SPO2、HR、PP变化,观察手术时间、镇痛评分,术后副反应。结果:丙泊酚组镇痛效果明显,与利多卡因组相比差异有统计学意义(P<0.05);且苏醒早,术后血压、心率、呼吸无明显变化,出血量与B、C组比较,差异无统计学意义。结论:丙泊酚麻醉效果安全可靠,效果好,副反应小,适用于门诊无痛人工流产麻醉的要求。
Objective: To investigate the clinical effect of propofol in induced abortion. Methods: A total of 720 voluntary induced abortion cases were randomly divided into 240 cases (group A) with propofol intravenous anesthesia and 240 cases with lidocaine cervical local anesthesia (group B) without 240 interventions (group C) , Routine use of ECG monitoring of BP, SPO2, HR, PP changes, observation of operation time, analgesic score, postoperative side effects. Results: The analgesic effect of propofol group was significantly higher than that of lidocaine group (P <0.05). There was no significant change of blood pressure, heart rate and respiration after resuscitation, Group comparison, the difference was not statistically significant. Conclusion: The propofol anesthesia is safe and reliable, with good effect and little side effects. It is suitable for the requirements of painless abortion anesthesia in outpatients.