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目的:探讨依托咪酯麻醉人工流产的疗效及护理方法。方法:将2009年1~8月在我院行人工流产的1 180例患者随机分为观察组680例和对照组500例,观察组采用依托咪酯静推麻醉,对照组采用利多卡因宫颈浸润麻醉。术前均对患者进行心理护理、正确的饮食及体位指导等,术后注意观察患者有无恶心、呕吐、头晕及阴道出血量等情况。结果:观察组的镇痛效果明显优于对照组(P<0.01),手术时间和出血量无明显差别。结论:依托咪酯麻醉人工流产通过恰当的围手术期护理可消除或减轻患者的疼痛,降低人工流产综合征的发生率。
Objective: To investigate the efficacy and nursing of etomidate induced abortion. Methods: A total of 1,180 induced abortion patients in our hospital from January to August in 2009 were randomly divided into observation group (680 cases) and control group (500 cases). The observation group was treated with etomidate, and the control group was given lidocaine Infiltration anesthesia. Preoperative patients were psychological care, correct diet and posture guidance, postoperative observation of patients with or without nausea, vomiting, dizziness and vaginal bleeding and so on. Results: The analgesic effect of the observation group was significantly better than that of the control group (P <0.01). There was no significant difference between the operation time and the amount of bleeding. Conclusion: Etomidate anesthesia induced abortion through appropriate perioperative care can eliminate or reduce the patient’s pain and reduce the incidence of induced abortion syndrome.