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目的:探讨异丙酚联合利多卡因用于早孕妇女无痛人工流产术的临床效果。方法:将自愿行人工流产的800例早孕妇女分为异丙酚联合利多卡因组(观察组)和利多卡因组(对照组),观察比较两组术中与术后镇痛效果、人工流产综合征、扩宫情况、术中出血量、术前与术后的子宫收缩幅度。结果:观察组与对照组的扩宫效果、阴道出血量及术后子宫收缩幅度差异无统计学意义(P>0.05),术中术后镇痛效果及人工流产综合征的发生率差异有统计学意义(P<0.01)。结论:异丙酚联合利多卡因在早孕妇女无痛人工流产术中术后的镇痛效果良好,可减少人工流产综合征的发生,副反应小且操作简单,值得推广。
Objective: To investigate the clinical effect of propofol combined with lidocaine for painless artificial abortion in pregnant women. Methods: One hundred and eighty pregnant women who voluntarily induced abortion were divided into propofol plus lidocaine group (observation group) and lidocaine group (control group). The analgesic effect between the two groups were observed and compared, Abortion syndrome, expansion of the situation, intraoperative blood loss, preoperative and postoperative uterine contractions. Results: There was no significant difference between the observation group and the control group in the effect of dilation, vaginal bleeding and postoperative uterine contractility (P> 0.05). The postoperative analgesic effect and the incidence of induced abortion syndrome were statistically different Significance (P <0.01). CONCLUSION: Propofol combined with lidocaine has a good analgesic effect after painless artificial abortion in early pregnant women, which can reduce the incidence of induced abortion syndrome. The side reaction is small and the operation is simple and worthy of promotion.