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目的:探讨一种安全有效便捷的无痛人工流产术。方法:随机选择400例早孕要求进行无痛人流的患者分为A、B、C、D 4组,A组[一氧化亚氮(笑气)组]、B组[笑气联合间苯三酚(斯帕丰)组]、C组(斯帕丰组)、D组(对照组、利多卡因局部浸润组),比较4组人流术中镇痛效果、宫颈松弛度、出血量、手术时间、人流综合征等。结果:A、B、C 3组均有镇痛效果、出血量少、手术时间短,B、C组宫颈扩张较理想,D组人流综合征发生率最高。结论:笑气联合斯帕丰用于人流术,镇痛效果、宫颈扩张、出血量、手术时间等均理想,值得临床推广。
Objective: To explore a safe, effective and convenient painless artificial abortion. Methods: Four hundred randomly selected patients with painless abortion during early pregnancy were divided into groups A, B, C and D 4, group A [nitrous oxide (nitrous oxide) group], group B [nitrous oxide combined with phloroglucinol (Sipofen group), group C (sipofeng group) and group D (control group, local infiltration of lidocaine group). The analgesic effect, cervical relaxation, blood loss, operation time , Flow syndrome and so on. Results: The analgesic effects were found in groups A, B and C, with less bleeding and shorter operative time. The cervical dilatation in group B and C was better than that in group D, and the incidence of flow syndrome in group D was the highest. Conclusions: The combination of nitrous oxide and sparofetil in abortion, analgesic effect, cervical dilatation, blood loss, operation time and so on are ideal and worthy of clinical promotion.