妇科手术中无痛技术的临床应用  

Clinical application of no-pain technique in gynecological operation

作　　者：姜星[1] 谭玉红[1] 黄彩贤[1] 

机构地区：[1]广东省珠海市妇幼保健院妇科,519000

出　　处：《河北医药》2005年第5期329-330,共2页Hebei Medical Journal

摘　　要：目的探讨无痛技术在妇科手术中的临床应用价值。方法我院2004年1月至2005年1月妇科手术患者自愿要求无痛手术287例患者为试验组,其中人工流产170例,钳刮38例,清宫53例,诊刮26例,无麻醉手术220例为对照组,其中人工流产120例,钳刮35例,清宫41例,诊刮24例。结果试验组和对照组缓解疼痛分别为287例和6例,人工流产综合征分别为0例和25例,宫颈口松弛分别为223例和27例,术后阴道出血停止时间(≤6d)分别为256例和133例,这四项P<0.05,差异显著;试验组和对照组术中出血量≤30ml分别为273例和208例,手术时间(≤4min)分别为227例和173例,这两项P>0.05,差异无显著性。结论无痛技术应用于妇科手术中效果确切、安全可靠。Objective To assess the application value of no-pain technique in gynecological operation.Methods The 287 patients hospitalized in our hospital from January 2004 to January 2005 were selected as trial group with no-pain technique including 170 cases with artificial aboration,38 cases with forceps curettage,53 cases with complete curettage of uterine cavity and 26 cases with diagnostic curettage;220 patients were selected as control group without anesthesia including 120 cases with artificial aboration,35 cases with forceps curettage,41 cases with complete curettage of uterine cavity and 24 cases with diagnostic curettage.Results The number of remission of pain in trial group and control group was 287 cases and 6 cases respectively,the number of artificial abortion syndrome was 0 and 25,the number of relaxation of cervix was 223 and 27,the number of stopping time of vaginal hemorrhage in post-operation was 256 and 133 respectively,there were significant differences ( P <0.05);the number of the hemorrhage volume (no more than 30 ml) in operation in trial group and control group was 273 cases and 208 cases,the number of operation time (no more than 4 min) was 227 cases and 173 cases,there was no significant difference between two groups ( P >0.05).Conclusion The clinical application of no-pain technique in gynecological operation is effective and safe.

关 键 词：妇科手术 无痛技术 临床应用 人工流产 钳刮 清宫 

分 类 号：R713[医药卫生—妇产科学]