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目的探讨一种安全、有效、便捷的无痛人流方法。方法随机选择300例早孕要求无痛人流的患者分为A、B、C三组,A组为一氧化氮(笑气)组、B组为丙泊酚组、C组为利多卡因局部浸润组,比较三组人流术术中镇痛效果、宫颈松弛度、出血量、手术时间、人流综合症等。结果A、B组均有镇痛效果,出血少,手术时间短,B组宫颈扩张较理想,C组人流综合症发生率高。结论丙泊酚联合芬太尼用于人流术,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 method. Methods A total of 300 patients with painless abortion were randomly divided into A, B and C groups. A group was nitrous oxide (NO) group, B group was propofol group, and C group was local infiltration of lidocaine Group, compared three groups abortion analgesic effect, cervical relaxation, bleeding, operation time, abortion and so on. Results A and B groups had analgesic effect, less bleeding, shorter operation time, better cervical dilatation in group B and higher incidence of cesarean section syndrome in group C. Conclusion Propofol combined with fentanyl for abortion, analgesic effect, cervical dilation, blood loss, operation time are ideal, worthy of clinical promotion.