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目的:比较人工流产术3种镇痛方法的效果。方法:300例早孕妇女随机分成A、B、C三组。A组手术行丙泊酚复合芬太尼静脉麻醉,B组行丙泊酚复合氟比洛芬酯静脉麻醉,C组行利多卡因宫旁神经阻滞麻醉。比较各组术中镇痛效果、术中宫颈扩张情况、丙泊酚用药量及术后30min时的宫缩痛VAS评分。结果:术中镇痛效果、术中宫颈扩张情况结果均为:A组、B组均明显优于C组,均有显著性差异(P<0.05);A、B组比较差异无显著性(P>0.05)。A组术中丙泊酚用药量明显多于B组,有显著性差异(P<0.05)。而术后30min时的宫缩痛VAS评分比较,A组、B组均明显低于C组,均有显著性差异(P<0.05)。B组低于A组,差异亦有显著性(P<0.05)。结论:在人工流产术的麻醉药物选择上,丙泊酚复合氟比洛芬酯静脉麻醉比单纯利多卡因宫旁神经阻滞麻醉或丙泊酚复合芬太尼静脉麻醉镇痛效果更佳,是目前值得推广的方法。
OBJECTIVE: To compare the efficacy of three analgesic methods of induced abortion. Methods: 300 cases of early pregnancy women were randomly divided into A, B, C three groups. Group A received propofol combined with fentanyl intravenously, group B received propofol combined with flurbiprofen axetil anesthesia, and group C received lidocaine paraventricular nerve block anesthesia. The analgesic effect, intraoperative cervical dilatation, propofol dosage and VAS score at 30min after operation were compared between groups. Results: The results of intraoperative analgesia and intraoperative cervical dilatation were: A group, B group were significantly better than C group, there was significant difference (P <0.05); A, B group was no significant difference P> 0.05). A group of intraoperative use of propofol was significantly more than the B group, there was a significant difference (P <0.05). However, the VAS scores of uterine contraction at 30min after operation were significantly lower in group A and group B than those in group C (P <0.05). B group was lower than A group, the difference was also significant (P <0.05). Conclusion: In the choice of anesthetic drugs for induced abortion, propofol combined with flurbiprofen axetil anesthesia is more effective than intravenous lidocaine alone or anesthesia with propofol and fentanyl intravenous anesthesia, Is worth promoting method at present.