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目的观察丙泊酚联合氯胺酮及双氯芬酸钠栓用于无痛人工流产术的临床效果。方法将200例行人工流产术患者随机分为两组各100例。丙氯组以丙泊酚和小剂量氯胺酮静脉注射,丙氯双组在此基础上于术前20 min用双氯芬酸钠栓50 mg纳肛。比较两组患者术中镇痛效果、术后宫缩痛、人工流产综合征发生率。结果丙氯双组术后宫缩疼痛程度及人工流产综合征发生率显著低于丙氯组(P<0.05,P<0.01)。结论双氯芬酸钠栓配合丙泊酚和氯胺酮能明显缓解术后宫缩痛,减少人工流产综合征发生率。
Objective To observe the clinical effect of propofol combined with ketamine and diclofenac sodium suppository for painless artificial abortion. Methods 200 cases of induced abortion patients were randomly divided into two groups of 100 cases. In the C group, propofol and low dose ketamine were injected intravenously. On the basis of CCl 2 group, diclofenac sodium 50 mg was administered 20 min before operation. The analgesic effect, postoperative contractions pain and abortion syndrome incidence were compared between the two groups. Results The incidence of uterine contractions and the incidence of induced abortion were significantly lower in the group C and C than those in the group C (P <0.05, P <0.01). Conclusion Diclofenac sodium suppository combined with propofol and ketamine can significantly relieve postoperative uterine pain and reduce the incidence of induced abortion syndrome.