笑气吸入法用于人工流产镇痛临床探究.docVIP

笑气吸入法用于人工流产镇痛临床探究 　 作者：符丽霞，郭珠爱，吴娜文 【关键词】 笑气；人工流产；镇痛 　　［摘　要］ 目的：研究笑气在人工流产术(以下简称人工流产)中的镇痛作用。方法:将336例孕45 d～70 d自愿中止妊娠的早孕妇女随机分为观察组和对照组。对照组除不给笑气外其他处理措施与观察组相同。观察比较两组术者疼痛程度、术中宫颈扩张难易程度、人工流产综合征的发生比例等。结果:观察组的疼痛强度明显低于对照组(Plt;0.01)，观察组宫口较松，极易通过5号扩宫器，便于手术操作。人工流产综合征的发生明显低于对照组(Plt;0.01)，差异有显著意义。结论:笑气用于人工流产术镇痛效果好，可减少患者痛苦，减少人工流产综合征的发生，操作简便，值得临床推广。 　　［关键词］ 笑气；人工流产；镇痛 　　To Research the Abirritation of Laughing Gas in Induced Abortion 　　　Abstract：Objective To research the abirritation of laughing gas in induced abortion.Methods To divide 336 pregnant women who are willing to terminate gestation within 45~70 days into observed groups and comparison group randomly.The disposal measure of the observed group is same as that of the comparison group except for not providing the laughing gas to the comparison group.Observing and comparing the two groups,the grade of pain,the grade of difficulty or easiness of the cervix extation,the portion of the happening of comprehensive symptoms of induced abortion etc.Results The grade of pain of observed group is apparently lower than the comparison group(Plt;0.01),the cervix uteriof observed group are looser,size 5 cervical dilator device is easy to pass,which is convenient for operation.The happening of comprehensive symptoms of induced abortion is apparently lower than comparison group(Plt;0.01),the difference is singnificative.Conclusion Using laughing gas into aberration of reduced abortion could result in good effect,reduce the pain of patients and interval of operation,the happening of comprehensive symptoms of induced abortion,be easy to operate and worthy of popularizing clinically. 　　Key words：Laughing gas；Reduced abortion；Indolence 　　据估计，世界上超过1/4的妊娠被行人工流产术(以下简称人工流产)。在我国，人工流产作为避孕失败的补救措施，也早已被广泛接受。随着人们生活水平的提高及医疗条件的改善，如何在施术时保证手术成功的同时达到无痛效果，是妇产科临床不断努力解决的重要课题。我们自2003年4月开始，以前瞻式随机对照方法，对笑气吸入运用于人工流产镇痛的疗效进行临床研究，分析报告如下。 　　1　资料与方法 　　1.1　研究对象　　　　　　　　　　　　　　　　　 　　自2003年4月至2004年4月，选择妇科门诊自愿终止的早孕妇女随即抽取336例，分为笑气吸入组(以下称观察组)和对照组，每组118例。观察组年龄(25.12±5.34)岁，孕周(8±2.4