异丙酚复合麻醉用于人工流产术及术后恢复卵巢排卵监测剖析.docVIP

异丙酚复合麻醉用于人工流产术及术后恢复卵巢排卵监测剖析 　　[摘要] 目的 探讨异丙酚复合麻醉在人工流产术中的应用效果，同时对患者术后恢复卵巢排卵进行检测分析。 方法 整群选取58例2012年6月―2014年2月在该院进行人工流产术的妊娠妇女临床资料作回顾分析，将其分成观察组与对照组进行比较。其中观察组共29例，采用异丙酚复合麻醉，对照组29例妊娠妇女使用利多卡因局部麻醉，对两组镇痛效果、清醒时间、术中出血量以及术后排卵情况进行观察并记录，根据两组间比较结果做出评价。结果 数据分析结果显示，观察组镇痛总体有效率为96.55%，对照组为82.76%，P0.05；观察对象中全部排卵正常，3周内即可正常排卵23人，占39.66%，其余4周内即可正常排卵，占60.34%，平均排卵时间为（43.2±12.3） d。结论 在人工流产术中使用异丙酚复合麻醉镇痛效果显著，可有效减轻术者负担，且术后排卵正常，临床使用价值高。 　　[关键词] 人工流产术；异丙酚复合麻醉；排卵检测；临床效果观察与评价 　　[中图分类号] R169.42 [文献标识码] A [文章编号] 1674-0742（2015）04（c）-0130-02 　　[Abstract] Objective To study the application effects of propofol combined with anesthesia in abortion，while monitor and analyze the recovery of ovulation after abortion. Methods To retrospectively analyze 58 pregnant women’s clinical data who received abortion from June 2012 to February 2014 in our hospital， and divided into observation group and control group.29 cases each group. The observation group adopted the combined anesthesia with propofol， and the control group took local anesthesia with Lidocainum. Recorded and compared the analgesic effects， awakening time，intraoperative blood loss and postoperative ovulation of two groups，making evaluations the comparison results between the two groups. Results According to data analysis results， the total effective rate of analgesia of observation group and control group were 96.55% and 82.76%（P0.05）； three weeks， there were 23 normal cases in ovulation （39.66%）； the remaining four weeks had normal ovulation（60.34%） （P0.05）； the average time of ovulation was（43.21±2.3）d. Conclusion During the induced abortion operation process， combined anesthesia with propofol has an obvious effect in effectively reducing the patients’ burdens. After surgery， the patients are recovered in terms of ovulation. It has a higher value in clinical application. 　　[Key words] Abortion； Combined Anesthesia with Propofol；Detection of Ovulation；Clinical Effect Observation Evaluation 　　人工流产即在妊娠初期采用人为方式终止妊娠的行为，主要方法分为药物流产与手术流产，其中手术流产常用两种