丙泊酚静注复合宫颈局麻用于无痛人流术的临床观察

Effect of intravenous injection of propofol combined with uterine cervix local anesthesia on pain during induced abortion

目的探讨丙泊酚静注复合利多卡因宫颈局麻用于无痛人流术的临床效果。方法120例自愿行无痛人流术的早孕妇女随机分为两组,A组(丙泊酚+局麻组)术前以丙泊酚2.0￣2.5mg/Kg静注(50s内注完)病人入睡后术者于宫颈内口旁3点、9点处各注射2%利多卡因2.5mL。B组(单纯丙泊酚组)以丙泊酚2.5￣3.0mg/kg静注(50s内注完),两组病人均视术中情况每次追加丙泊酚0.5mg/kg,观察两组病人术中的麻醉效果及术后镇痛效果,记录丙泊酚用量。结果A组病人术中的麻醉效果及术后镇痛效果均优于B组,丙泊酚用量少于B组。结论丙泊酚静注符合利多卡因宫颈局麻用于无痛人流效果良好。

[Objective] To observe and analyze effect of intravenous injection of propofol combined with the uterine cervix local anesthesia on the pain during induced abortin. [Methods] 120 early pregnancy women who selected painless induced abortion were divided randomly into the group of intravenous injection of propofol combined with the Uterine Cervix local anesthesia （group A） and the group of intravenous injection of propofol （group B）. Before operation, the patients in group A were given intravenous injection of propofol 2.0-2.5 mg/kg in 50 seconds and two points injections of 2% lidocaine 2.5 mL in the site of 3 o＇clock and 9 o＇clock beside the intemum of uterine cervix. The patients in group B were given intravenous injection of propofol 2.5-3.0 mg/kg in 50 seconds before op eration. Required propofol 0.5 mg/kg by intravenous injection were given during operation. It was observed that the effect of anesthesia during operation, post-operative analgesia and the dose of propofol in both groups. [Results] The quality of anesthesia and the degree of post-operative analgesia in group A were better than that in group B. The dose of propofol in group A was lower than that in group B. [Conclusion] The quality of anesthesia of intravenous injection of propofol combined with the uterine cervix local anesthesia during induced abortin is more satisfying.