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目的基于非镇痛人流手术的临床表现,观察静脉麻醉下镇痛人流术的施治安全性、临床效果和患者体验。方法根据自愿原则,选取本院近5年来收治的198例入院止孕患者作为治疗组;病例资料库收集无镇痛组146例作为对照组。治疗组:术治过程采取麻醉措施,静脉芬太尼及异丙酚推注,复合麻醉;对照组:术治过程不采取任何麻醉镇痛措施。比对观察归纳临床表现:手术过程的稳定性、安全性;手术时间;术中出血;手术并发症;患者疼痛反应;人流综合症等。结果治疗组镇痛有效率达100%,手术过程以及手术之后的各项临床表现明显低于对照组,差异均有显著性(P<0.01)。结论人流术采取静脉芬太尼及异丙酚推注复合麻醉,镇痛效果显著,整个施术过程安全、稳定,手术效果更好,不仅可消除患者疼痛反应,而且可大大避免术中出血、术后并发症以及人流综合症等出现。
Objective Based on the clinical manifestations of non-analgesic abortion, observe the safety, clinical efficacy and patient experience of analgesic abortion under intravenous anesthesia. Methods According to the principle of voluntariness, 198 cases admitted to our hospital as the treatment group were selected as the treatment group in our hospital in the recent 5 years. 146 cases without the analgesic group were collected as the control group. The treatment group: the treatment of anesthesia, intravenous fentanyl and propofol bolus, composite anesthesia; control group: the treatment process does not take any anesthetic analgesic measures. Comparison of clinical manifestations summarized: the stability of the surgical process, safety; operation time; intraoperative bleeding; surgical complications; patient pain response; Results The effective rate of analgesia in the treatment group was 100%. The clinical manifestations after operation and after operation were significantly lower than those in the control group (P <0.01). Conclusions The abortion is a combination of intravenous fentanyl and propofol bolus anesthesia. The analgesic effect is remarkable. The whole operation process is safe and stable, and the operation effect is better. It not only can relieve the patient’s pain response, but also can avoid intraoperative bleeding, Postoperative complications and flow syndrome appear.