笑气在人流术中镇痛临床疗效.docVIP

笑气在人流术中镇痛临床疗效 　 作者：傅文君 张雪君 陈静鸳 【关键词】 笑气 摘要：目的：探讨笑气(N2O)在早孕人工流产术中的镇痛作用。方法：选取我院妇科门诊因早期宫内妊娠要求终止妊娠的妇女用笑气吸入镇痛行人工流产术500例作为观察组,随机选取同期早孕妇女行人工流产术500例不采取任何镇痛措施作为对照组, 观察两组疼痛及宫颈松弛度等情况。结果：观察组镇痛显效率（94.0%）明显高于对照组Ｐlt;0.01, 宫颈松弛度观察组总有效率（88.0%）明显优于对照组（60.0%）Ｐlt;0.01,两组手术时间、出血量和术后离院时间无显著性差异(Ｐgt;0.05)。结论：笑气吸入性镇痛用于人工流产术镇痛效果好,镇痛作用起效快,患者不良反应少,操作简便安全,适合人工流产术需要。 关键词：笑气；人工流产；镇痛 The Analgesic Effect of Laughinggas in Induced Abortion Abstract：Objective: An approach to the analgesic effect of laughinggas(N2O) in inducedabortion. Method: 500 cases of women were selected from the out patients in our college hospital as the observation group who were early pregnant and given laughinggas as analgesia in inducedabortion; the contrast group consisted of randomly selected 500 cases who were given no analgesic measures. Result: The analgesic efficiency of the observation group(94%) was significantly higher than the contrast group(Plt;0.01); the total efficiency in degree of dilatation of the cervix of the observation group(88%) was significantly superior to that of the contrast group(60%)(Plt;0.01); There was no significant diversion between the two groups in operation duration, bleeding amount and post-operation session in hospital. Conclusion: The analgesic effect of laughinggas used in inducedabortion is good in that it takes effect immediately and brings about less bad reactions to patients. In addition, it is convenient and safe to operate thus meets the needs of inducedabortion. Key words：Laughinggas；Induced Abortion；Analgesia 我院于2003年使用笑气(氧化亚氮,化学名Ｎ2Ｏ)吸入性镇痛人工流产,效果满意,现对500例笑气吸入性镇痛人流的疗效进行临床分析。 1资料与方法 1.1一般资料：2003年1月至2004年10月,选择500例早孕自愿行笑气吸入性镇痛人工流产术者为观察组,孕妇均无人工流产术禁忌证,无高血压、肺、肾疾病史。年龄19～46岁,孕周6～10周,初孕者300例(60%)。随机选同期500例早孕要求人工流产患者作对照组,不采取任何镇痛措施。两组孕妇的年龄、停经天数、孕产次等基本条件相似,临床资料具有可比性。 1.2设备和方法：笑气来源为香港氧气公司生产的瓶装安桃乐(ENTONOX)气体,内含50%笑气和50%氧气。使用设备为澳大利亚产迷定尼(MIDEN)镇痛气体呼吸设备,包括一个供气减压阀和一个带自动活瓣阀的面罩,两者用可弯曲的气体导管连接。在活瓣自动控制下进行吸入性供气,流量0～16l/min。术前做常规检查及准备。观察组在术前(扩宫前)30～60ｓ开始吸入质量分数为50%笑气和50%氧气的混合气体。患者手持面罩,扣住口鼻,作深呼