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目的观察阴道后穹窿置卡孕栓1.0 mg(2枚)放置30 min后,在丙泊酚注射液0.2 mg配伍芬太尼注射液0.1 mg麻醉状态下行无痛人流术中的效果,以选择最佳的流产方法。方法将200例早孕拟行人工流产术的妇女分A组:丙泊酚注射液0.2 g配伍芬太尼注射液0.1 mg麻醉。B租:于阴道后穹窿放置卡孕栓30 min后,在丙泊酚配伍芬太尼联合麻醉下行人工流产术。C组:术前30 min放置卡孕栓,后行人工流产术。观察三组宫颈扩张效果,比较扩张宫颈时间,术中出血量及镇痛效果。结果 A组术中完全无痛,但术中出血量增加,可能与麻醉有关,子宫较软,子宫收缩欠佳。B组子宫颈松弛,术中出血量减少。两组比较差异有统计学意义(P<0.01)。A组与C组比较,宫颈松弛差异有统计学意义,A组较C组松弛,扩张宫颈时间差异无统计学意义,术中出血量差异有统计学意义,C组优于A组,C组出血较少,可能与放置卡孕栓有关。B组扩张宫颈时间优于A组,与C组差异有统计学意义,宫颈松弛优于A组和C组,差异有统计学意义。
Objective To observe the effect of vaginal posterior fornix caramel suppository 1.0 mg (2 tablets) placed in painless abortion for 30 min after anesthesia with propofol 0.2 mg and fentanyl 0.1 mg anesthesia to select the most Good abortion method. Methods A total of 200 women who were induced by artificial abortion in the first trimester of pregnancy were divided into two groups: Group A: 0.2 g propofol injection and 0.1 mg fentanyl injection were anesthetized. B Rent: placed in the posterior vaginal fornix card 30min after anesthesia, fentanyl in combination with propofol anesthesia down abortion. Group C: Cardiac pregnant suppositories were placed 30 min before the operation and induced abortion was performed. Observation of three groups of cervical dilation effect, more expansion of cervical time, intraoperative blood loss and analgesic effect. Results A group of patients were completely painless surgery, but increased intraoperative bleeding, may be related to anesthesia, the uterus is soft, poor uterine contractions. B group cervix relaxation, blood loss decreased. The difference between the two groups was statistically significant (P <0.01). A group and C group, cervical relaxation difference was statistically significant, A group than C group relaxation, expansion of cervical time was no significant difference between the amount of bleeding was statistically significant, C group is superior to A group, C group Less bleeding, may be related to the placement of card pregnant plug. The cervical dilatation time in group B was better than that in group A, which was significantly different from that in group C (P <0.05). Cervical relaxation was superior to group A and C (P <0.05).