异丙酚联合芬太尼用于人工流产术的临床效果观察

目的探讨异丙酚联合芬太尼在人工流产术中应用的临床效果。方法选择需行人工流产术的早孕患者430例,根据自愿的原则,其中110例不采用麻醉措施,分为A组;120例采用异丙酚麻醉,分为B组;200例采用异丙酚联合芬太尼麻醉,分为C组。比较各组镇痛效果、宫颈松弛度、阴道流血量、人工流产综合征发生率,并行统计学分析。结果各组镇痛效果、宫颈松弛度、阴道流血量及发生人工流产综合征的比较,A组与B组差异具有统计学意义（P〈0.01）;B组与C组具有统计学意义（P〈0.01）;C组最佳,B组其次,A组最差。结论异丙酚联合芬太尼用于人工流产术时,疗效确切、安全性强,值得广泛推广。

Clinical Observation on Effect of Propofol Combined with Fentanyl in Abortion

Objective To discuss the clinical results of propofol combined with fentanyl being used in abortion.Methods Collect 430 early pregnancy patients needing abortion, according to the principle of voluntary, 110 patients were divided into A group without anesthesia measures; 120 patients were divided into B group by using propofol, 200 patients were divided into C group by using propofol and fentanyl, comparing of analgesic effect, relaxation degree of cervical, vaginal blood loss and the incidence of abortion syndrome.Results Comparing of each group＇s analgesic effect, relaxation degree of cervical, vaginal blood loss and the incidence of abortion syndrome, A group and B group has a very significant statistical difference（P0.01）; B group and C group has a significant statistical difference（P0.05）, C group was the best, B was the better, A group was the worst.Conclusion Propofol combined with fentanyl being used in abortion was good at clinical results and security, it was worthy of being promoted widely.