异丙酚静脉注射笑气吸入镇痛用于人工流产术临床剖析.docVIP

异丙酚静脉注射笑气吸入镇痛用于人工流产术临床剖析 　　[摘要] 目的 探讨异丙酚静脉注射和笑气吸入用于人工流产术的镇痛效果。方法 将150例使用异丙酚静脉注射行人工流产术的患者作为异丙酚组,将120例使用笑气吸入行人工流产术的患者作为笑气组,将90例未用药行人工流产术的患者作为对照未用药组;观察异丙酚、笑气的镇痛效果。结果 异丙酚和笑气均有镇痛作用,与对照组比较,差异有显著统计学意义(P0.01);异丙酚的镇痛效果明显,镇痛有效率异丙酚组(100%)与笑气组(76.67%)差异有显著统计学意义(P0.01)。结论 异丙酚和笑气用于人工流产术均有良好镇痛效果,异丙酚镇痛效果优于笑气。 　　[关键词] 异丙酚; 笑气; 人工流产; 镇痛 　　[中图分类号] R614.2+1;R614.2+4 [文献标识码] A [文章编号] 1673-9701(2010)11-76-03 　　 　　Effect of Induced Abortion Using Disoprofol Tuansvenous Injection and Inhale Nitrous Oxide 　　XU Guiqin CAI Xiaowei 　　Qixia City Peoples Hospital of Shandong Province,Qixia 265300,China 　　 　　[Abstract] ObjectiveTo study the analgesic effect of induced abortion using disoprofol tuansvenous injection and inhale nitrous oxide. MethodsWe selected 150 cases of patient of induced abortion using disoprofol tuansvenous injection as the group of disoprofol;we selected 120 cases of patient of induced abortion using inhale nitrous oxide as the group of nitrous oxide;and we also selected 90 cases of patient of induced abortion using nothing as the group of comparison in order to observe the analgesic effect of disoprofol and nitrous oxide. ResultsCompared with the group of comparison,the group of disoprofol and the group of nitrous oxide had a extremely significant analgesic effect(P0.01),the analgesic effect of disoprofol was obvious,the difference of the analgesic effectiveness between disoprofol(100%)and the nitrous oxide(76.67%)was significant(P0.01). ConclusionWith good analgesic effect,disoprofol and nitrous oxide are good for painless induced abortion. Compared with the group of nitrous oxide ,the analgesia effect of disoprofol is obvious. 　　[Key words]Disoprofol; Nitrous oxide; Induced abortion; Analgesia 　　 　　人工流产术由于手术简单,以往我院多不使用麻醉,但手术扩张宫颈和刮吸时可使患者感到极度疼痛和不适。为解除患者恐惧心理,减轻疼痛,我院在人工流产术应用异丙酚或笑气镇痛,取得了良好效果,现报道如下。 　　1 资料与方法 　　1.1 资料来源 　　将150例使用异丙酚镇痛行人工流产术的患者作为异丙酚组,采用异丙酚静脉注射镇痛。将120例使用笑气吸入镇痛行人工流产术的患者作为笑气组,采用50%笑气与50%氧气混合气体吸入镇痛。将90例未用药行人工流产术的患者作为对照未用药组。三组均为健康早期妊娠妇女,术前谈话,签订手术和麻醉同意