依托米酯在人工流产手术中的应用

Application of Etomidate on Induced Abortion

目的探讨依托米酯在人工流产手术中应用优势及价值.方法对182例早孕妇女(观察组)自愿接受无痛人流手术的在术前1min静脉推注依托米酯0.2～0.3mg/kg和术前15min肌注阿托品0.5mg.将手术时及手术后临床观察结果加以记录,并与同期128例早孕妇女(对照组)实施常规人流术的进行比较.结果无痛人流组人流综合征发生率低于10%,无痛率达93%,明显优于对照组.结论依托米酯和阿托品联用于人工流产手术,有利于人工流产手术顺利进行,可缩短手术时间,减少受术者痛苦,预防和降低人流综合征的发生,是目前较为理想的人工流产方法.

Objective To explore the application of Etomidate on induced abortion. Methods 182 cases of gestating period women (observe group) who volunteered to take the no pain induced abortion were intravenous injecting Etomidate (0.2～0.3mg/kg) before operation 1min and intramuscular injecting atropine 0.5mg before operation 15min,compared with the results of 128 cases of gestating period women(control group) who were took rule induced abortion. Results The syndrome by induced abortion of observe group was lower than 10 percent,the without pain rate was 93 percent,There was a clear superiority with the observe group than the control group. Conclusion That using Etomidate and atropine on induced abortion have benefits for taking operation,for curtailing operation time,for alleviating patient's suffering,for preventing and reducing syndrome,it is a ideal method of induced abortion at present.