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目的观察异丙酚复合芬太尼用于无痛人工流产术的临床效果。方法选择自愿接受无痛人工流产术的早孕妇女100例,术前建立静脉通道,首先注入芬太尼0.1mg,然后缓慢推注1.0～2.0mg/kg异丙酚。同时,选择自愿接受传统人工流产术的早孕妇女100例作为对照,术中不做任何麻醉处理。观察实验组与对照组相比在镇痛效果、宫颈松弛情况、失血量和人流综合征发生率等方面的差异。结果异丙酚复合芬太尼静脉麻醉在镇痛效果、宫颈松弛情况和人流综合征发生率等方面较对照组相比差异显著(P<0.001或P<0.05),在失血量方面差异不具有统计学意义。结论异丙酚复合芬太尼静脉麻醉镇痛效果确切,不良反应少,是较为理想的无痛人工流产麻醉方法。
Objective To observe the clinical effect of propofol combined with fentanyl for painless induced abortion. Methods 100 pregnant women who volunteered to undergo painless artificial abortion were enrolled in this study. Venous access was established preoperatively. First, 0.1 mg fentanyl and then propofol 1.0-2.0 mg / kg were injected slowly. At the same time, select 100 cases of pregnant women voluntarily accepted traditional abortion as control, without any anesthesia during operation. The experimental group compared with the control group in the analgesic effect, cervical relaxation, blood loss and flow syndrome and other aspects of the difference. Results Propofol combined with fentanyl intravenous anesthesia in the analgesic effect, cervical relaxation and the incidence of flow syndrome and other aspects compared with the control group significant difference (P <0.001 or P <0.05), the difference in blood loss does not have Statistical significance. Conclusion Propofol combined fentanyl intravenous anesthesia has the exact analgesic effect and less adverse reactions, which is an ideal method for painless artificial abortion.