人工流产中异丙酚全麻镇痛效果的观察

OBSERVE THE EFFECTS OF ANALGIA COMPARING THE INTRAVENOUS ANESTHESIA WITH PROPOFOL AND TRADITIONAL NERVE BLOCK OF CERVIX UTERI 1640 CASES OF OPERATIONS OF ARTIFICIAL.

目的 :探讨异丙酚全麻用于人工流产术镇痛的效果 ,并与传统的宫颈旁阻滞麻醉进行比较。方法 :将 2 0 0 1年10月至 2 0 0 3年 5月来院施行人工流产术的 16 4 0例孕妇 ,根据本人意愿 ,分在异丙酚组 84 0例 ,宫颈旁阻滞麻醉组 80 0例。按国际镇痛标准进行分级 ,并采用 u检验统计两组镇痛效果、术中出血量、宫颈松弛程度 ,计算各项观察结果 P值。结果 :异丙酚组镇痛效果及宫颈松驰情况优于宫颈旁阻滞麻醉组 (P<0 .0 5 ) ,前者手术时间短于后者 ,两组术中出血量相近 (P>0 .0 5 )。结论 :异丙酚全麻用于人工流产 ,具有效果好、安全、可靠、并发症少的优点 。

Objective:To study the effects of analgia using intravenous anesthesia with propofol during operations of artificial abortion,which compare with traditional nerve block of cervix uteri.Methods:A total of 1640 pregnant women volunteers were randomly divided into two groups:840 cases using intravenous anesthesia with propofol,and the other 800 cases using nerve block of cervix uteri.Using Verbal Rating Scales(VRS)and u test,we study the effects of analgia,the blood loss assessment and the relaxation of cervical uteri.Results: The group of using propofol had better effects of analgia than the other group(P<0.05).The former had less time of operation than the latter.The blood loss assessment of two groups was not statistically significant(P>0.05).Conclusion:It illustrate that using intravenous anesthesia with propofol would receive better effects,be safer,more reliable,and get fewer complications.This method is worthy of spreading.