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目的:探讨丙泊酚复合液用于无痛人工流产术的有效性及安全性。方法:将300例无痛人工流产的患者随机分为单纯丙泊酚组,丙泊酚+阿托品组,丙泊酚+阿托品+利多卡因组。观察患者的诱导时间、诱导剂量、苏醒时间、观察时间,比较三组的麻醉效果、注射部位疼痛分级。结果:丙泊酚+阿托品+利多卡因组患者诱导时间、诱导剂量、苏醒时间、观察时间及麻醉效果、注射部位疼痛分级都明显优于其他两组。结论:丙泊酚复合利多卡因、阿托品用于门诊无痛人工流产手术,可增强丙泊酚的镇痛效果,消除注射部位的疼痛,明显减少丙泊酚的用量。
Objective: To investigate the efficacy and safety of propofol complex solution in painless artificial abortion. Methods: 300 patients with painless abortion were randomly divided into propofol group, propofol + atropine group, propofol + atropine + lidocaine group. The induction time, the induction dose, the recovery time and the observation time were observed. The anesthetic effects of the three groups were compared, and the pain scores at the injection site were compared. Results: The induction time, induction dose, recovery time, observation time and anesthetic effect in propofol + atropine + lidocaine group were significantly better than those in the other two groups. Conclusion: Propofol combined with lidocaine and atropine for painless induced abortion in outpatients can enhance the analgesic effect of propofol, relieve the pain in the injection site and significantly reduce the dosage of propofol.