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目的分析人工流产手术中麻醉办法为异丙酚静注同时给予利多卡因宫颈局麻的实际效果。方法将2011年7月至2013年7月于漯河市临颍县人民医院行人流术的120例患者按患者意愿分为观察组和对比组,其中观察组60人,对比组60人,观察组麻醉方式为静脉注射异丙酚同时给予利多卡因宫颈局麻,对比组单给予静脉注射异丙酚,对比两组各项指标的实际情况。结果观察组麻醉效果满意度、给药后宫颈松弛程度均高于对比组,比较具有统计学差异(P<0.05);在药物追加量、总药量及人流综合症发病情况上均低于对比组,较具有统计学差异(P<0.05)。两组在手术时间、手术出血量上无明显差异性(P>0.05)。结论在人流麻醉中异丙酚辅用利多卡因麻醉效果令人满意,安全可行,可临床推广使用。
Objective To analyze the practical effect of intravenous anesthesia with propofol on cervical intraepithelial anesthesia with lidocaine during abortion. Methods From July 2011 to July 2013, 120 patients who underwent vagotomy in Linying County People’s Hospital of Luohe City were divided into observation group and control group according to patients’ wishes, including 60 in observation group and 60 in contrast group. The observation group Intravenous injection of propofol anesthesia with lidocaine cervical spine, the control group was given propofol intravenously, comparing the actual situation of the two groups of indicators. Results The degree of satisfaction with anesthesia in the observation group was significantly lower than that in the control group (P <0.05), and the level of cervical relaxation in the observation group was lower than that in the control group Group, more statistically significant difference (P <0.05). There was no significant difference between the two groups in operation time and operation bleeding volume (P> 0.05). Conclusion Propofol with lidocaine anesthesia is satisfactory in human anesthesia, safe and feasible, and can be used clinically.