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目的:比较芬太尼复合丙泊酚与氧化亚氮(笑气)在人工流产中镇痛效果。方法:将300例早孕妇女随机分成3组,均在术前60 min阴道塞米索前列醇400μg,A组为芬太尼复合丙泊酚静脉注射,B组为氧化亚氮吸入,C组为对照组,观察3组镇痛效果,人工流产综合征(PAAS)发生率及出血量,宫口松弛情况。结果:A组起效快,镇痛效果明显高于B组,C组,PAAS发生率A组明显低于B组,C组。结论:芬太尼复合丙泊酚静脉麻醉,可达到无病人工流产的满意效果,氧化亚氮吸入方法简便,可减轻部分受术者痛苦,不需专门监护,在基层门诊人工流产中应用。
OBJECTIVE: To compare the analgesic effect of fentanyl with propofol and nitrous oxide in induced abortion. Methods: Three hundred pregnant women were randomly divided into three groups. All patients were given 400 μg of vaginal premedicated sophorolol 60 min before operation. Group A received intravenous injection of fentanyl and propofol. Group B received inhaled nitrous oxide. Group C received In the control group, the analgesic effect, the incidence of induced abortion syndrome (PAAS), the amount of bleeding and the cervix relaxation were observed. Results: A group of fast onset, analgesic effect was significantly higher than the B group, C group, PAAS incidence was significantly lower in group A than in group B, C group. Conclusions: Fentanyl combined propofol intravenous anesthesia can achieve satisfactory results in patients with induced abortion, nitrous oxide inhalation method is simple, can reduce the pain of some patients, without special supervision, the application of abortion in primary clinic.