非静脉麻醉在无痛人工流产术中的临床效果分析  

Effect Analgsis of Un-Intravenous Anesthesia in Painless Induced Abortion

作　　者：杨碧玉[1] 罗晓勘[2] 

机构地区：[1]成都市新津县人民医院,四川成都611400 [2]成都市医学信息所,四川成都610091

出　　处：《现代临床医学》2008年第4期269-270,共2页Journal of Modern Clinical Medicine

摘　　要：目的:观察非静脉麻醉与静脉麻醉在无痛人工流产术中的临床效果。方法:选择早孕妇女360例,随机分为A组(米索前列醇术前舌下含化,肌注度冷丁及子宫旁注射利多卡因)和B组(静注异丙酚),各180例。结果:宫颈松弛率A组优于B组(P<0.05);镇痛效果、人流综合征发生率等两组比较有显著性差异(P>0.05);给药后,A组BP、HR、SpO2无明显变化,B组均有不同程度下降,与自身给药前比较有显著性差异(P<0.05)。结论:米索前列醇联合度冷丁及利多卡因应用于无痛人流安全、简便、有效。Objective： To compare the effect of un - intravenous anesthesia and intravenous anesthesia in painless induced abortion. Methods： 360 early pregnancy women opting for induced abortion, were divided into two groups randomly： group A was given misoprostol sublingual administration, intramuscular injection of dolandn, parauterine injection of lidocaine preoperatively, group B was used propofol intravenously. To observe the analgesic effect, the incidence of induced abortion syndrome, dilatation of cervix, bleeding and uterine contraction. Results： The dilatational rate of cervix was significantly better in group A than that in group B （ P 〈 0.05 ） ; There were no significantly differences of analgesic effects, the incidence of abortion syndrome, the volume of vaginal bleeding between two groups （ P 〈 0.05 ）. Conclusion： Misoprostol combined dolantin and lidocaine is safe, simple, and effective for painless induced abortion.

关 键 词：米索前列醇 度冷丁 利多卡因 人工流产 

分 类 号：R169.43[医药卫生—公共卫生与预防医学]