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目的分析研究丙泊酚配伍芬太尼在无痛人流中的作用。方法选择自愿人工流产且无禁忌证的健康妇女246例,随机分为观察组和对照组各123例。观察组术前静脉缓慢注射丙泊酚+芬太尼;对照组术前未给任何药物,手术方法相同。观察两组镇痛效果、宫颈松弛程度、人工流产综合征发生率和不良反应。结果观察组镇痛效果、宫颈松弛程度、人工流产综合征发生、以及术中不良反应与对照组相比差异有统计学意义(P<0.05)。结论丙泊酚复合芬太尼应用于无痛人流,具有效果好、不良反应少、安全等特点,值得推广。
Objective To study the effect of propofol with fentanyl in painless abortion. Methods A total of 246 healthy women with voluntary induced abortion and no contraindications were randomly divided into observation group (123 cases) and control group (123 cases). In the observation group, propofol and fentanyl were slowly injected into the preoperative vein. In the control group, no medication was given before surgery, and the operation method was the same. The analgesic effect, cervical relaxation, incidence of induced abortion syndrome and adverse reactions were observed. Results The observation group analgesic effect, cervical relaxation, the occurrence of abortion syndrome, as well as intraoperative adverse reactions compared with the control group, the difference was statistically significant (P <0.05). Conclusion Propofol combined fentanyl used in painless, with good effect, less adverse reactions, safety and other characteristics, it is worth promoting.