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目的:探讨无痛人工流产术的优缺点。方法:155例宫内妊娠60天内妇女随机分为治疗组80例和对照组75例,前者予以芬太尼加丙泊酚静脉麻醉进行无痛人工流产术,后者给予传统药物米非司酮片和米索前列醇施以传统人工流产术,比较两组腹痛平均持续时间、术后平均出血时间、2次清宫率。结果:治疗组和对照组腹痛平均持续时间分别为(4.85±0.36)m in和(5.62±0.55)h,术后阴道平均流血时间分别为(2.87±1.53)天和(6.53±1.76)天,2次清宫率分别为2.5%和8.0%。结论:芬太尼加丙泊酚实施的无痛人工流产术,镇痛效果好,术后出血时间短。
Objective: To investigate the advantages and disadvantages of painless artificial abortion. Methods: Fifty-five cases of intrauterine pregnancy within 60 days were randomly divided into treatment group (n = 80) and control group (n = 75). The former was treated with fentanyl and propofol intravenous anesthesia for painless abortion. The latter was given mifepristone Traditional misoprostol and misoprostol were given to the patients. The average duration of abdominal pain, the mean postoperative bleeding time and the rate of 2 clearance were compared between the two groups. Results: The average duration of abdominal pain in treatment group and control group were (4.85 ± 0.36) min and (5.62 ± 0.55) h, respectively. The average postoperative vaginal bleeding time was (2.87 ± 1.53) days and (6.53 ± 1.76) 2 times the rate of clearance were 2.5% and 8.0%. Conclusion: Fentanyl plus propofol is a painless artificial abortion with good analgesic effect and short postoperative bleeding time.