【作者】 秦文； 许莹；

【Author】 Qin Wen, Xu Yin Chang Zhou Maternal and Children Health Hospital, Chang Zhou, 213003

【机构】 江苏省常州市妇幼保健医院；

【摘要】 目的探讨三种麻醉方法用于无痛人流的效果及安全性问题。方法选择停经40-70天,自愿无痛人流的健康妇女600名,随机分成3组,P组:单纯静脉内异丙酚麻醉。P+F组:静脉内异丙酚+芬太尼麻醉。P+S组:静脉内异丙酚麻醉+宫颈喷淋管表面麻醉。结果各组临床特征:年龄、体重、孕产次、停经天数等均无异显著差异。三种方法麻醉满意率均为100%。联合用药可减少异丙酚用量,减缓注药速度,呼吸抑制发生比率明显减少P(0.05,但在P+F组清醒后有眩晕感的人数明显多于其它两组,离院时间也相应延长P(0.05。P+S组较其它两组比较有明显扩张宫颈作用p(0.01。结论静脉内异丙酚+表面麻醉用于无痛人流可提高麻醉安全性并有利于手术操作。更多还原

【Abstract】 To determine the advantages and disadvantages of three narcotic methods for painless electrical vacuum abortions in order to identify which one is the most advantageous and safe. Methods: 600 women with early pregnancy were randomly divided into three groups. Group P(n=200) using intravenous injection propofol only. Group P+F(n=200) using intravenous injection propofol and fentanie. Group P+S(n=200) using vein anesthesia of propofol combined with cervix sprayer surface anesthesia. Results: There were no outstanding different clinic characteristics among the three Groups. The analgesic efficaciousness in the three Groups was similar. The combined method uses less propofol than the single method. More women in the group P+F and group P+S had a clearly smaller number of respiratory depression than those in group P (P<0.05). But after recovering consciousness more women in the Group P+F felt dizzy than in other two groups, so that they stay longer in hospital (P<0.05). The rate of the effective cervical dilatation in the group P+S were significantly higher than the other two groups (P<0.01). Conclusion: It is a safe and effective method for painless electrical vacuum abortions by vein anesthesia using propofol combined with cervix sprayer surface anesthesia.更多还原