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目的观察术前应用缩宫素鼻喷雾剂在异丙酚静脉麻醉下人工流产术中的效果,以探寻适合的人工流产方法。方法将70例早孕拟行人工流产术的妇女,随机分为A组和B组,每组35例。A组异丙酚麻醉术前应用缩宫素鼻喷雾剂,B组单用异丙酚麻醉。观察两组宫颈扩张效果,比较扩宫时间、术中出血量及镇痛效果。结果 A组术中出血量减少,两组比较差异有统计学意义(P<0.01);两组宫颈扩张效果、扩宫时间和镇痛效果比较未见明显差异。结论术前应用缩宫素鼻喷雾剂与异丙酚静脉麻醉下人工流产可减少术中出血量,效果良好,不影响镇痛效果和宫颈扩张,可联合应用。
Objective To observe the effect of preoperative application of oxytocin nasal spray on artificial abortion under intravenous propofol anesthesia in order to find a suitable artificial abortion method. Methods Seventy cases of abortion in early pregnancy were randomly divided into group A and group B, 35 cases in each group. A group of propofol anesthesia before the application of oxytocin nasal spray, B group with propofol anesthesia. Observation of two groups of cervical dilation effect, compare the expansion of time, intraoperative blood loss and analgesic effect. Results The blood loss in group A was decreased, the difference between the two groups was statistically significant (P <0.01). There was no significant difference between the two groups in the effect of cervical dilatation, the time of dilation and the analgesic effect. Conclusions The preoperative application of oxytocin nasal spray and propofol intravenous anesthesia can reduce intraoperative blood loss, the effect is good, does not affect the analgesic effect and cervical dilatation, can be combined.