不同镇痛方法在人工流产术中效果分析
镇痛,,芬太尼；流产，人工；镇痛；利多卡因,1资料与方法,2结果,3讨论
【摘要】 目的 总结人工流产术中三种方法对未曾生育妇女镇痛、宫颈扩张的临床效果。方法 对235例分别应用异丙酚复合苏太尼(A组)、电子扩宫仪(B组)、利多卡因(C组)以及对照组(D组)进行临床比较。4组对象临床特征差异无显著性(P>0.05)，有可比性。结果 三种方法均有明显的宫颈扩张和镇痛效果，而对照组中宫颈自动扩张，中重度腹痛明显高于A、B、C组，P<0.01；人工流产综合征的发生率分别为0、3.0%、2.2%、13.0%，A组与D组比较差异有非常显著性(P<0.01),A与B、C组之间差异无显著性(P>0.05)。结论 三种方法用于人工流产手术具有扩张宫颈和镇痛效果，是安全、简便、有效的方法，尤以异丙酚联用芬太尼效果为最佳。【关键词】 芬太尼；流产，人工；镇痛；利多卡因
Analysis of analgesic effects of three different methods for artifitial abortion
XIN Fu-yun.
Department of Obstetrics and Gynecology,The First Peoples Hospital of Jiangmen.Jiangmen 529000,China
【Abstract】 Objective To sum up the clinical effects of the three methods used in easing pain and cervix expansion in artificial abortion for nulliparous pregnants.Methods The author compared clinical effects of four different analgesic methods on 235 cases whose clinical characterics were statisticly same.The four methods were:group A(propofol plus fentany),group B(electron expanding palace meter),group C(lidocaine),group D(control group).Results All of the three interventional methods had obvious clinical effects on cervix expansion and easing pain,however,cervix autoextending and moderatesevere abdominal pain on control group were obviously higher than A,B,C group(P<0.01).In control group,occurrence rates of induced abortion syndrome was 0.29%、2.1%、11.1% respectively.Group A was obviously different from group B(P<0.01).Group A did not have distinc difference from group B or C,(P>0.05).Conclusion Three methods for induced abortion have clinical effects for they can extend cervix uteri and remit pain in operation.And they are safe、simple and effective. ......
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