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目的 :探讨丙泊酚联合小剂量芬太尼用于无痛人工流产的临床疗效。方法 :将在我院就诊且接受人工流产的393例患者,随机平均分为两组,观察组患者采用丙泊酚联合小剂量芬太尼方式进行麻醉,对照组采用于宫颈旁神经丛注射1%利多卡因进行麻醉,对比两组患者的临床疗效。结果:观察组总有效率为93.88%,对照组总有效率为71.57%,两组患者总有效率差异具有显著性(P<0.05),且观察组明显优于对照组。观察组宫口扩张总有效率为97.45%,对照组宫口扩张总有效率为66.66%,两组患者宫口扩张情况差异具有显著性(P<0.05),且观察组明显优于对照组。结论 :丙泊酚联合小剂量芬太尼用于无痛人工流产的临床疗效较佳,且相对安全,值得推广应用。
Objective: To investigate the clinical efficacy of propofol combined with fentanyl in painless induced abortion. Methods: 393 patients who were treated in our hospital and underwent induced abortion were randomly divided into two groups. The patients in the observation group were anesthetized with propofol combined with low-dose fentanyl, and the control group was injected with paracenrocyte plexus 1 % Lidocaine anesthesia, compared the clinical efficacy of two groups of patients. Results: The total effective rate was 93.88% in the observation group and 71.57% in the control group. The total effective rate in the two groups was significant (P <0.05), and the observation group was significantly better than the control group. The total effective rate of uterine distention in observation group was 97.45%, while the total effective rate of uterine expansion in control group was 66.66%. The difference of uterine distention in the two groups was significant (P <0.05), and the observation group was significantly better than the control group. Conclusion: Propofol combined with low dose of fentanyl for painless artificial abortion has better clinical effect and is relatively safe, which is worth popularizing and applying.