On the different methods of analgesia in the application of artificial abortion.docVIP

 PAGE \* MERGEFORMAT 5 On the different methods of analgesia in the application of artificial abortion [Keywords:] Analgesia; induced abortion; pregnancy When the contraceptive failure and unprotected intercourse to unwanted pregnancy occurs, abortion is a safe, high success rate of the remedial measures. To alleviate the pain by the surgeon, this site will be lidocaine, misoprostol, Jing ( propofol) combined with fentanyl for 6 to 10 weeks of pregnancy abortion in pain, achieved good results, are as follows. 1 Materials and Methods 1.1 General Information Select January 2006 -2010 clinic in January from the site by the surgeon’s 400 patients, aged 18 to 45 years (mean 24.5 years), the B-test confirmed intrauterine pregnancy, parity 0 to 3 times. preoperative routine examination were consistent with surgical conditions, no surgical contraindications. 1.2 Methods 400 cases by patients who were randomly divided into 4 groups, each with different preoperative narcotic analgesic drugs. Ⅰ group: 1% lidocaine local anesthesia in the cervical cervical 4 and 8 points after puncture Withdrawing no blood was injected 2ml, and into the cervix with a cotton swab soaked in the mouth, 3min remove the cotton after the treatments. Ⅱ group: 2h preoperative vaginal misoprostol 400μg place after the dome. Ⅲ group: preoperative fasting, water, 4h, Jing surgery when intravenous (propofol) (2 ~ 2.5mg/kg) plus fentanyl (2μg/kg), pregnant women, loss of consciousness after the surgery. Ⅳ group: the use of any interventions. 1.3 Materials Jing (200mg / branch, Beijing Fresenius Kabi Pharmaceutical Company), fentanyl (100μg / support, Yichang Fu Pharmaceutical Co., Ltd.), monitors, anesthesia machine (alternate). Criteria of analgesic effect of 1.4 markedly: expression and stability, completely without pain; effect: unconscious moan, a slight twist, no bad memories after waking; invalid: feeling pain, face pain, sweating. Criteria of 1.5 cases of cervical relaxa