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目的观察不同剂量的丙泊酚行不同孕妇人工流产术中人流综合征的发生率。方法孕46～72d的不同孕妇160例,经产妇76例;未产妇84例。临床分为未产组与经产组;未产妇组分Ⅰ、Ⅱ组;经产组分阴道产组与剖宫产组。静脉推注丙泊酚2mg/kg或2.5mg/kg。结果各组人流综合征发生率差异有统计学意义(P<0.01);相同丙泊酚剂量时(2mg/kg),经产组效果显著优于未产Ⅰ组与剖宫产组(P<0.05),不同剂量时未产Ⅱ组效果优于未产Ⅰ组(P<0.05)。结论行无痛人工流产术时需对不同的孕妇使用不同剂量的丙泊酚。
Objective To observe the incidence of flow syndrome in different pregnant women with different doses of propofol. Methods Sixty-six pregnant women with different gestational ages ranging from 46 to 72 days were enrolled in this study. There were 76 maternal and 84 non-mothers. Clinically divided into non-producing group and the group; non-parturient group Ⅰ, Ⅱ group; the vaginal delivery group and cesarean section group. Intravenous Propofol 2 mg / kg or 2.5 mg / kg. Results There was significant difference in the incidence of the syndrome between the two groups (P <0.01). When the same dose of propofol was given (2mg / kg), the effect of producing group was better than that of group Ⅰ and cesarean section (P < 0.05). The effect of non-producing group Ⅱ at different doses was better than that of group Ⅰ (P <0.05). Conclusion Painless abortion requires different doses of propofol for different pregnant women.