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目的探讨静脉用双异丙酚行无痛人流时,对人流时间、宫颈松弛、出血量及防止人流综合征的发生进行观察。方法对1146例早期妊娠要求人工流产手术者,行双异丙酚静脉麻醉下人流术,观察镇痛效果、手术时间、宫颈松弛度、术中患者心率、SPO2的变化,有无恶心、呕吐,以及出血量的情况。结果1146例用双异丙酚的患者均无疼痛感觉,手术时间、宫颈松弛度、心率下降,SPO2下降,及恶心,呕吐发生率明显低,出血量也较低。结论用双异丙酚静脉推注方法行无痛人流,有缩短手术时间、松弛宫颈、减少术中出血量的优点,可以明显减少人流综合征的发生,有明显的镇痛效果。
Objective To investigate the effect of intravenous infusion of propofol on painless abortion, observe the time of abortion, cervical relaxation, blood loss and the prevention of abortion syndrome. Methods One hundred and fourteen hundred and sixty-six cases of induced abortion undergoing early pregnancy were treated with intravenous propofol. The analgesic effect, operative time, cervical relaxation, intraoperative heart rate, SPO2 changes, nausea, vomiting, As well as the amount of bleeding. Results All the 1146 patients who received propofol had no pain sensation. The operation time, cervical relaxation, heart rate, SPO2, nausea and vomiting were significantly lower and the amount of bleeding was lower. Conclusion Intravenous bisoprofol injection of painless abortion, shortening the operation time, relax the cervix and reduce the advantages of intraoperative bleeding, can significantly reduce the incidence of flow syndrome, a significant analgesic effect.