三种镇痛方法对人工流产术效果的影响

目的：探讨三种镇痛方法对人工流产术效果的影响.方法：将需人工流产的400例早孕妇女随机分为三组,I组采用宫颈局部注射2%利多卡因,Ⅱ组采用异丙酚,Ⅲ组采用杜冷丁及异丙嗪联合米索前列醇,对照组采用传统人流方法.结果：Ⅲ组的镇痛效果优于Ⅰ组、Ⅱ组;观察三组人流并发症的发生率差异无显著性意义（p〉0.05）;Ⅰ组的术中出血及宫颈扩张的情况差于Ⅱ组、Ⅲ组（p〈0.05）.结论：三种镇痛方法均有镇痛作用,度冷丁及异丙嗪联合米索前列醇组较其它两组出血量少、手术时间短、安全方便,是人流术中镇痛的较好方法.

Three analgesia methods to induced abortion technique effect influence

Objective：To investigate the Three Analgesia Methods on artificial abortion effect. Methods：To abortion 400 cases of early pregnant women were randomly divided into three groups,group I with cervical local injection of 2% lidocaine, group Ⅱ with propofol,group Ⅲ with meperidine and promethazine combined with misoprostol,the control group used the traditional flow method. Results： In group Ⅲ than that in I group, the analgesic effect＇of group Ⅱ was observed in the three groups of people ; the complication rate was no significant difference （P〉0.05） ;group Ⅰ intraoperative bleeding and cervical dilatation worse in group Ⅱ,group Ⅲ （P 〈0.05 ）. Conclusion：Three analgesia methods showed analgesic effects,meperidine and promethazine combined with misoprostol group than the other two groups with less bleeding, short operation time, safe and convenient,is a good method in artificial abortion analgesia.