异丙酚在人工流产手术中的应用观察

目的　观察异丙酚在人工流产手术中麻醉效果及其对人工流产的影响。　方法　选择2004年1~6月自愿接受人工流产术的早孕患者200例,分为观察组和对照组各100例,观察组静脉注射异丙酚行无痛人工流产,对照组不给麻醉药物予常规人工流产。两组手术方法相同。　结果　观察组镇痛率为100%,无人工流产综合征发生,对照组均感疼痛,发生人工流产综合征25例,两组比较差异显著(P<0. 01)。观察组宫颈松弛程度和术中反应均优于对照组(P<0. 01);两组术中出血量比较无统计学差异(P>0. 05)。　结论　异丙酚用于人工流产手术镇痛效果好,可避免人工流产综合征的发生,减少术中不良反应,缩短手术时间,对子宫收缩无影响,可广泛应用于无痛人流手术。

Application of Propofol in Induced Abortion

Objective To investigate the effect of propofol in induced abortion. Methods 200 cases intended to underwent induced abortion were divided in to study group (n=100) and control group (n=100), treatment were same in both group except propofol administrated in study group. Results No pain and abortion syndrom occured in study group, whereas in control group there was occurence of pain in every case and abortion syndrom in 25 cases, showing significant difference ( P <0.05). A significant improvement of incompetence of uterus orifice and intraoperative discomfort was found in study group, when compared with control group ( P <0.01). There was no significant difference of blood loss between two groups ( P >0.05). Conclusion Propofol can develop good analgesia effect, reduce the intraoperative discomforts, shorten operative time, show no inhibition of uterus contrast and thereby avoid the occurence of abortion syndrom, presenting the rationale of wider application in analgesia abortion.