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目的 :探讨丙泊酚在人工流产中的镇痛作用。方法 :要求人工流产者 97例 ,其中 38例 (年龄2 8a±s 7a ,孕周 8wk± 3wk) ,术前给予丙泊酚 2 .0mg·kg- 1静脉注射 ,如手术时间超过 8min ,再追加 50～ 70mg为用药组 ,另 59例 (年龄 2 8a± 9a ,孕周 8wk± 3wk)不使用任何镇痛药为对照组。结果 :38例人工流产均得到满意镇痛作用 ,总有效率10 0 % ,无 1例发生人工流产综合反应 ,对照组有效率为 4 9% (P <0 .0 1)。结论 :丙泊酚用于人工流产镇痛效果好 ,无明显副作用。
Objective: To investigate the analgesic effect of propofol in induced abortion. Methods: A total of 97 cases of induced abortion were enrolled. Among them, 38 cases (age 28a ± s7a, gestational week 8wk ± 3wk) were given propofol 2.0 mg · kg-1 preoperatively, for example, the operation time exceeded 8 minutes Additional 50 ~ 70mg for the medication group, the other 59 patients (age 2 8a ± 9a, gestational weeks 8wk ± 3wk) do not use any analgesic as the control group. Results: All 38 cases of induced abortion were satisfied with the analgesic effect. The total effective rate was 100%. No comprehensive abortion induced response occurred in 1 case. The effective rate in control group was 49% (P <0.01). Conclusion: Propofol is effective in analgesia induced by induced abortion without obvious side effects.