丙泊酚静脉麻醉行人工流产与药物流产的效果比较

Comparison of Curative Effects of Intravenous Anesthesia with Propofol in Suction Termination of Pregnancy and Drug Abortion

目的：比较丙泊酚静脉麻醉行人工流产与米非司酮配伍米索前列醇药物流产两种方法的效果。方法：将100例孕40～60d孕妇随机分为两组，Ⅰ组米非司酮药物流产，Ⅱ组丙泊酚静脉麻醉行人工流产术。观察其术中疼痛、出血量、出血天数及流产成功率。结果：Ⅱ组手术时无痛，出血量少，出血时间短，全身状况良好，流产成功率高，Ⅰ组部分疼痛、出血量较大，出血时间长，全身不适症状多。结论：丙泊酚静脉麻醉行人工流产效果明显优于米非司酮药物流产。

Objective： To compare the effects of abortion under anesthesia of Propofol and induced by mifepristone combined with misoprostol. Methods： 100cases with 40～60 days pregnancy were randomly divided into two groups： Group Ⅰ had abortion induced by mffepristone combined with misoprostol, and group Ⅱ had artificial abortion under anesthesia of propofol. Analgesic effect, bleeding time, capacity of hemorrhage, the rate of complete abortion in the two groups were recorded. Results： The rate of incomplete abortion and the amount of bleeding and bleeding time in group Ⅱ were all significantly lower than that in group Ⅰ. Conclusion： The-method of induced abortion with propofol is a safe and effective one with little side effect.