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目的探讨异丙酚静脉麻醉用于人工流产的临床效果及不良反应。方法选择2015年行人流术的患者118例,随机分为对照组(n=59)和观察组(n=59)。观察组给予异丙酚静脉麻醉,对照组不使用任何诱导麻醉剂,分别记录并对比2组患者疼痛情况、扩宫器应用、呼吸系统(BP/HR/SPO2)、术中出血量和术后并发症发生情况。结果对照组VAS评分为(7.2±0.4)分,手术时间为(9.1±1.8)min,显著高于观察组的(0.5±0.3)分、(5.1±1.6)分,差异有统计学意义(P<0.05);对照组术中出血量30ml以上于观察组相比差异明显,但整体差异不明显,相比无统计学意义(P>0.05);对照组4-5号扩宫器应用最多,占比50.84%,观察组6号扩宫器应用最多,占比79.66%。对照组术后并发症发生率明显高于观察组。结论异丙酚应用于无痛人流术麻醉效果良好,人流综合征反应低,对患者体征、呼吸的影响弱、不良反应少,安全有效,值得推广应用。
Objective To investigate the clinical effects and adverse reactions of propofol intravenous anesthesia in induced abortion. Methods A total of 118 patients with pedestrian ablation in 2015 were randomly divided into control group (n = 59) and observation group (n = 59). The observation group was given propofol intravenous anesthesia, while the control group did not use any induced anesthetics. The pain status, dilator application, respiratory system (BP / HR / SPO2), intraoperative blood loss and postoperative complications Occurrence of disease. Results The VAS score of the control group was (7.2 ± 0.4) points and the operation time was (9.1 ± 1.8) min, which was significantly higher than that of the observation group (0.5 ± 0.3) and (5.1 ± 1.6) points, respectively <0.05). The blood loss in the control group was significantly higher than that of the observation group (30ml), but the overall difference was not significant (P> 0.05) Accounting for 50.84%, observation group dilator on the 6th most widely used, accounting for 79.66%. The incidence of postoperative complications in the control group was significantly higher than that in the observation group. Conclusion Propofol is effective in painless abortion and has a low response to flow syndrome. It has weak effects on the signs and respiration of the patients, less adverse reactions, and is safe and effective. It is worth popularizing and applying.