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目的观察笑气吸入联合双氯芬酸钠栓塞肛用于无痛人流的疗效。方法选择2004年1月~2004年12月我院妇科门诊接受人工流产的400例孕妇按要求分为无痛人流观察组和常规对照组,观察两组人流术中及术后镇痛效果、手术时间、术中出血量、人流综合征发生情况,及术后阴道出血时间。观察组在术前30分钟肛塞双氯芬酸钠栓50mg,阴道消毒时开始吸入笑气镇痛,对照组用分散注意力的心理安慰疗法。结果两组术中及术后镇痛效果、手术时间及人流综合征发生情况比较,观察组明显优于对照组,差异具有显著性(P<0.01)。两组术中出血量,术后阴道出血时间差异无显著性(P>0.01)。结论笑气吸入联合双氯芬酸钠栓塞肛用于无痛人流效果好,患者不良反应少,值得推广应用。
Objective To observe the effect of nitrous oxide inhalation combined with diclofenac sodium embolism anal for painless treatment. Methods From January 2004 to December 2004, 400 pregnant women undergoing gynecology clinics in our hospital were divided into painless observation group and conventional control group according to the requirements. The effects of abortion, postoperative analgesia, Time, intraoperative bleeding, the incidence of flow syndrome, and postoperative vaginal bleeding time. Observation group 30 minutes before surgery anal plug diclofenac sodium suppository 50mg, vaginal disinfection began inhalation of nitrous oxide analgesia, the control group with distracting psychological comfort therapy. Results The analgesic effect, operative time and the incidence of flow syndrome in the two groups were significantly better than those in the control group (P <0.01). There was no significant difference between the two groups in the amount of bleeding during operation and the time of postoperative vaginal bleeding (P> 0.01). Conclusions Noxious inhalation combined with diclofenac sodium embolism anal for painless effect, patients with less adverse reactions, it is worth to promote the application.