笑气联合斯帕丰用于门诊无痛人流术中的临床研究

Clinic study of combination of spasfon and laughing gas in painless artificial abortion of outpatients

目的探讨笑气联合间苯三酚(斯帕丰)用于门诊人流术的镇痛效果。方法随机选择200例自愿行笑气联合斯帕丰行无痛人流孕妇为实验组,选200例自愿行笑气无痛人流孕妇为对照组。比较两组人流术中血气氧饱和度、宫颈松驰度、出血量、手术时间、人流综合征发生率等。结果实验组镇痛效果明显优于对照组(P<0.01),实验组宫颈软化程度明显优于对照组(P<0.05)。实验组与对照组血氧饱和度、出血量、手术时间比较差异均无显著性(P>0.05)。结论笑气联合斯帕丰用于门诊人流术镇痛效果更好。

OBJECTIVE To study the effect of combination of spasfon and laughing gas in painless artificial abortion. METHODS 400 cases of early pregnancy patient who came from gynecologic clinics were recruited and were divided randomly into two groups （group A： combination of spasfon and laughing gas, group B： laughing gas only）. Oxygen saturation, dilaton of cervix, hemorrhage, operation period, effect of easing pain and the incidence of artificial abortion syndrome during operation were evaluated. RESULTS The group of combination of spasfon and laughing gas had better effect of easing pain （ P 〈 0.01 ） and more perfect dilation of cervix （ P 〈 0.05 ） during operation. However, no obvious difference was confirmed in oxygen saturation, hemorrhage and operation period between two groups （ P 〉 0.05 ）. CONCLUSION There are better effects of combination of spasfon and laughing gas than laughing gas only in painless artificial abortion.