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目的探讨应用丙泊酚进行静脉麻醉的早孕人工流产、过期流产、药物不全流产清宫、功能失调性子宫出血(简称功血)诊断性刮宫的手术镇痛效果及安全性。方法患者分成两组,麻醉组2608例,均系主动要求应用丙泊酚静脉麻醉行无痛手术者,麻醉开始时丙泊酚静脉注射剂量为2-3mg/kg(2mg/s),根据镇静效果,必要时再追加0.5mg/kg。对照组211例,为同期自愿选择手术时不使用任何镇痛或麻醉药的患者,记录术中疼痛程度及手术并发症。结果麻醉组无痛率91.76%,疼痛缓解率99.46%,与对照组比较有极显著性差异(P<0.01),且并发症少。结论丙泊酚静脉麻醉用于早孕人工流产、过期流产、药物不全流产清宫、诊断性刮宫的镇痛效果显著,可达到无痛、舒适且速醒的目的,且适应症广泛,大大避免了人工流产综合征的发生,利于加强临床科室之间的相互沟通与协作,适宜镇级以上医院应用。
Objective To investigate the analgesic effect and safety of diagnostic curettage of early curettage, late abortion, incomplete abortion and dysfunctional uterine bleeding (referred to as dysfunctional uterine bleeding) using propofol for intravenous anesthesia. Methods The patients were divided into two groups, 2608 patients in the anesthesia group, all of whom volunteered to take propofol intravenous anesthesia for painless surgery. At the beginning of anesthesia, the dose of propofol was 2-3mg / kg (2mg / s) Effect, if necessary, additional 0.5mg / kg. Control group of 211 cases, for the same period of voluntary surgery at the same time choose not to use any analgesic or narcotic patients, record the degree of intraoperative pain and surgical complications. Results The painless rate was 91.76% and the pain relief rate was 99.46% in the anesthetic group, with significant difference (P <0.01) compared with the control group, and the complication was less. Conclusions Propofol intravenous anesthesia is used in induced abortion, overdue abortion and incomplete miscarriage in early pregnancy. The analgesic effect of diagnostic curettage is remarkable, and painless, comfortable and wakefulness can be achieved. The indications are widely used and the artificial The occurrence of abortion syndrome is conducive to strengthening mutual communication and collaboration among clinical departments and is suitable for the application of hospitals above town level.