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目的比较芬太尼配伍丙泊酚静脉给药与宫颈注射利多卡因局部给药的效果。方法2007年1月-2007年12月在我院自愿实行人工流产术者516例。其中238例应用芬太尼配伍丙泊酚静脉麻醉(静脉组),278例宫颈局部注射利多卡因局部麻醉(局部组),比较两组镇痛效果、手术时间、出血量及不良反应。结果二种麻醉方法镇痛效果差异有统计学意义(P<0.05),手术时间、出血量、不良反应差异无统计学意义(P>0.05)。结论芬太尼配伍丙泊酚静脉麻醉无痛人工流产术效果好,无明显不良反应。
Objective To compare the efficacy of fentanyl with propofol intravenous injection and local injection of lidocaine for cervical injection. Methods 516 cases of voluntary abortion in our hospital from January 2007 to December 2007. Among them, 238 cases were treated with intravenous anesthesia with fentanyl and propofol, and 278 cases with local injection of lidocaine (local group). The analgesic effects, operation time, blood loss and adverse reactions were compared between the two groups. Results The analgesic effects of the two anesthesia methods were statistically significant (P <0.05). There were no significant differences in operative time, bleeding volume and adverse reactions between the two anesthesia methods (P> 0.05). Conclusion Fentanyl with propofol intravenous anesthesia painless artificial abortion effect is good, no obvious adverse reactions.