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近年来,我国妇女非意愿妊娠发生率逐步上升,人工流产应用率也呈上升趋势。传统的人工流产是在自然状态下,机械地扩张宫颈后,医生仅凭感觉和经验对宫腔内妊娠物进行吸刮。手术操作中,患者能明确感知器械对宫颈的牵拉、扩张刺激以及对宫壁的吸刮刺激,因而疼痛、恐惧,肢体摆动,甚至反射性引起迷走神经兴奋,出现一系列如恶心、呕吐、呻吟、面色苍白等人工流产流综合征反应,增加了手术操作的困难、风险和手术时间。同时由于是盲性操作,也存在着漏吸、吸宫不全或过度搔刮、子宫穿孔的可能。为提高医疗服务质量,我院自2011年7月始采用静脉麻醉下超导可视人工流产术取得良好效果,现将我院2011年7月～2012年12月间超导可视无痛人流270例临床资料分析如下:
In recent years, the incidence of unwanted pregnancies in China has gradually risen, and the utilization rate of induced abortion has also been on the rise. Traditional abortion is in a natural state, the mechanical expansion of the cervix, the doctor only by feeling and experience of intrauterine pregnancy suction. Surgical operation, the patient can clearly sense the device on the cervical traction, dilatation and stimulation of the wall absorption of the suction, so pain, fear, limb swing, and even reflex vagus nerve caused by excitement, there was a series of nausea, vomiting, moaning , Pale and other artificial abortion syndrome, increased surgical difficulties, risks and operation time. At the same time as a result of the blind operation, but also there is leakage suction, incomplete suction or over-scratching, the possibility of uterine perforation. To improve the quality of medical services, our hospital since July 2011 with intravenous anesthesia under the superconducting visual artificial abortion achieved good results, now our hospital in July 2011 ~ December 2012 superconducting visual painless 270 cases of clinical data as follows: