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目的:研究卡前列甲酯联合丙泊酚用于人工流产术的效果观察。方法:选择宫内早孕、要求人工流产的健康妇女120例,将其随机分为观察组和对照组。观察组(卡前列甲酯+丙泊酚组)60例,阴道后穹窿放置卡前列甲酯拴1 mg,60 min后行丙泊酚麻醉后行人工流产术;对照组(丙泊酚组)60例,单用丙泊酚麻醉后行人工流产术。两组手术方法相同,观察两组宫颈软化程度、手术时间、出血量以及术后阴道出血时间。结果:观察组宫颈软、宫口扩张度好、手术时间缩短、术中出血减少。两组对比有显著差异(P<0.05)。结论:卡前列甲酯联合丙泊酚用于人工流产术能够有效扩张宫颈、减少术中及术后出血量、缩短手术时间、降低术后并发症的发生,值得临床推广使用。
Objective: To study the effect of card top methyl ester combined with propofol on induced abortion. Methods: One hundred and twenty healthy women who chose intrauterine pregnancy in the first trimester of pregnancy requiring abortion were randomly divided into observation group and control group. In the observation group (card methylester + propofol group), 60 cases were given vaginal fornix methylester for 1 mg for 60 min and then induced by propofol anesthesia. The control group (propofol group) 60 cases, only propofol anesthesia after abortion. The same two surgical methods, the two groups observed the degree of cervical softening, operation time, amount of bleeding and postoperative vaginal bleeding time. Results: In the observation group, the cervix was soft and the dilatation of cervix was good. The operative time was shortened and the intraoperative bleeding was reduced. There was significant difference between the two groups (P <0.05). Conclusion: The combination of cardinal methyl ester and propofol for abortion can effectively expand the cervix, reduce intraoperative and postoperative bleeding, shorten the operation time and reduce the incidence of postoperative complications, which is worthy of clinical promotion.