不同麻醉方法对人工流产术镇痛效果比较.docVIP

不同麻醉方法对人工流产术的镇痛效果比较 　　[摘要] 目的 探讨两种镇痛方法在人工流产手术中的疗效观察。方法100例实施无痛人工流产术患者随机分成两组:异丙酚+芬太尼静脉麻醉组(A组)50例和2%利多卡因宫颈局部浸润麻醉组(B组)50例,观察两组手术时间、麻醉评分、镇痛效果及并发症等。结果 A组麻醉成功率50例(100%)高于B组43例(86.0%)(χ2=3.99,P30mL:1例(2.0%)]低于B组[12例(24.0%)、6例(12.0%)](χ2=3.97,χ2=3.89,P均0.05);A组宫颈松弛程度显效48例(96.0%)明显高于B组42例(84.0%)(χ2=3.94,P0.05);人工流产综合征A组1例(2.0%),低于B组6例(12.0%)(χ2=4.25,P0.0.5)。结论人工流产术应选择异丙酚+芬太尼静脉麻醉,效果满意。 　　[关键词] 异丙酚; 芬太尼; 利多卡因; 麻醉; 镇痛 　　[中图分类号] R714.21 [文献标识码] A [文章编号] 1673-9701(2010)01-78-02 　　 　　Analgesic Effects of Different Anesthesia Methods on Induced Abortion 　　MA Kailei 　　Department of Anesthesiology,Guilin Municipal Maternal and Child Health Hospital,Guilin 541001,China 　　 　　[Abstract] ObjectiveTo investigate the curative efficacy of two kinds of analgesia in induced abortion. MethodsWe divided 100 cases of painless artificial abortion randomly into:propofol + fentanyl intravenous anesthesia group(Group A,50 cases) and 2% lidocaine local infiltration anesthesia group(Group B,50 patients),Operation lasting time,anesthesia score,analgesic effect and complications were observed in the two groups. ResultsThe anesthesia success rate of Group A(50 cases,100%)was higher than that of Group B(43 cases,86.0%)(χ2=3.99,P30mL:1 case(2.0%)] was lower than that of Group B[12 cases(24.0%),6cases(12.0%)](χ2=3.97,χ2=3.89,P0.05); There were 48 cases with obvious efficiency of cervical relaxation degree(96.0%)in Group A and 42 cases with the obvious efficiency(84.0%)in Group B ,with the efficiency of Group A significantly higher than that of Group B(χ2=3.94,P0.05). One case of artificial abortion syndrome of Group A(2.0%) and 6 cases of artificial abortion syndrome of Group B(12.0%)showed fewer cases of syndrome in the former compared with the latter(χ2=4.25,P0.05). ConclusionPropofol + fentanyl intravenous anesthesia should be chosen for painless artificial abortion,with satisfactory results. 　　[Key words]Propofol; Fentanyl; Idocaine; Anesthesia; Analgesia 　　 　　人工流产术(以下简称人流)作为避孕失败的补救措施,早已被世人