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目的 :减轻人工流产时孕妇的痛苦 ,预防人工流产综合征的发生。方法 :设三组 ,异丙酚组 ,异丙酚静脉麻醉下行人工流产术 ;利多卡因加阿托品组 ,术前宫颈注射利多卡因及阿托品 ;对照组 ,不用任何药物。结果 :异丙酚组无痛率 10 0 % ,与利多卡因加阿托品组及对照组相比差别有极显著意义 (P<0 .0 1) ,但无宫颈松弛作用。利多卡因加阿托品组镇痛有效率为 90 ,与对照组相比差别有极显著意义 (P<0 .0 1) ,具有宫颈松弛作用 ,无需扩张宫颈口 (P<0 .0 1)。二者均能预防人工流产综合征 ,不增加术中出血量。结论 :异丙酚静脉麻醉与利多卡因加阿托品宫颈注射均能减轻孕妇人工流产时痛苦 ,预防人工流产综合征的发生
Objective: To alleviate the pain of pregnant women during induced abortion and prevent the occurrence of induced abortion syndrome. Methods: The three groups, propofol group, propofol intravenous anesthesia down abortion; lidocaine plus atropine group, preoperative cervical injection of lidocaine and atropine; control group, without any drug. Results: The painless rate was 100% in propofol group, which was significantly different from that in lidocaine plus atropine group and control group (P <0.01), but no cervical relaxation. The effective rate of analgesia in lidocaine plus atropine group was 90%, which was significantly different from that in control group (P <0.01). It had the effect of cervix relaxation and did not need to dilate cervix (P <0.01) . Both can prevent induced abortion syndrome, do not increase intraoperative blood loss. Conclusion: Propofol intravenous anesthesia and lidocaine plus atropine cervical injection can reduce the pain of induced abortion in pregnant women to prevent the occurrence of induced abortion syndrome