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目的探讨提高无痛人工流产术安全性的方法。方法直肠应用米索前列醇200μg后0.5~1h内,实施异丙酚静脉麻醉无痛人工流产术334例(研究组)与单纯异丙酚静脉麻醉无痛人工流产术334例对照。结果研究组与对照组的麻醉药用量及麻醉效果相同,研究组宫颈松软、操作容易、时间短,明显优于对照组,出血量及不良反应明显少于对照组。结论异丙酚静脉麻醉无痛人工流产术前直肠应用米索前列醇,能够提高无痛人流术的安全性,值得推广应用。
Objective To explore ways to improve the safety of painless abortion. Methods 334 cases of painless artificial abortion with propofol intravenous anesthesia (study group) and 334 cases of painless artificial abortion with pure propofol intravenous anesthesia were administered within 0.5 ~ 1 hour after 200μg misoprostol was administrated. Results The study group and the control group had the same anesthetic effect and anesthetic effect. The study group was characterized by soft cervix, easy operation and short time, which was significantly better than the control group. The bleeding and adverse reactions were significantly less than those of the control group. Conclusion Propofol intravenous anesthesia painless artificial abortion preoperative application of misoprostol, can improve the safety of painless abortion, it is worth promoting the application.