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目的:对比宫颈注射利多卡因及丙泊芬联合芬太尼静脉注射用于人工流产(人流)术的临床观察。方法:选择1 536例自愿要求行无痛人流术的宫内早孕妇女作为A组,采用丙泊芬联合小剂量芬太尼静脉注射。另选择同期1 525例宫内早孕要求行人流术的妇女作为B组,进行宫颈注射利多卡因。分别观察和比较两组的镇痛效果,宫颈松弛情况,人流综合征发生率,麻醉复苏时间,及血压、呼吸情况,术后定向障碍,自行离床时间,平均手术时间,术中出血情况,术后宫缩痛情况。结果;两种方法均有镇痛效果,但丙泊芬联合小剂量芬太尼用于人流术镇痛效果更好,宫颈松弛程度、人流综合征、平均手术时间、抑制术后宫缩痛均优于利多卡因组。结论:丙泊芬联合芬太尼用于人流术镇痛效果好,安全、可靠。
Objective: To compare the clinical effects of intravenous injection of lidocaine and propofol combined with fentanyl for induced abortion (abortion). Methods: A total of 1 536 women with intrauterine pregnancy who volunteered to have painless abortion were enrolled as Group A, and propofol combined with low-dose fentanyl was injected intravenously. Another choose the same period 1 525 cases of intrauterine pregnancy requiring pedestrian abortion women as a group B, for cervical injection of lidocaine. The analgesic effects, cervical relaxation, the incidence of flow syndrome, the time of anesthesia recovery, blood pressure and respiration, postoperative disorientation, time of leaving bed, average operation time, intraoperative bleeding, Postoperative contractions pain situation. Results Both methods had analgesic effect. However, propofol combined with fentanyl had better effect on abortion, cervical relaxation, flow syndrome, mean operative time, and postoperative uterine contractions Superior to lidocaine group. Conclusion: Propofol combined with fentanyl for abortion analgesic effect is good, safe and reliable.