异丙酚静脉麻醉用于人工流产400例临床分析

Use of intravenous propofol anesthesia in 400 cases of induced abortions.

目的:探讨异丙酚静脉麻醉下行人工流产术的镇痛效果及安全性。方法:实验组(要求无痛人流)与对照组(不用药物)。实验组术前静脉注射异丙酚2.5 mg/kg,观察两组疼痛、发生人流综合征(PAAS)、宫颈松弛程度、术中出血量、苏醒时间等情况。结果:实验组无痛率达100%,无一例发生人流综合征,宫口扩张松弛明显,与对照组差异有显著性(P<0.01)。两组术中出血量无明显差异。结论:异丙酚静脉麻醉下人工流产术是较理想的镇痛方法,安全有效,值得临床推广使用。

Objective：To evaluate the use of intravenous propofol in controlling pain and its safety during induced abortion.Methods：The experimental group consisted of women who requested for painless induced abortion while the comparison group did not receive any medication.The experimental group was given intravenous propofol 2.5mg/Kg before the procedure.Both groups were observed for pain, abortion syndrome ,degree of relaxation of the cervix, blood loss during the procedure and time of awakening,ere.Results：The experimental group was 100% free from pain, none had abortion syndrome and the cervical os was obviously relaxed compared with the control group （P〈0.01）.Blood loss during the procedure was not significantly different between the two groups.Conclusion：The use of intravenous propofol in induced abortion is a choice method for pain control. It is safe and effective and worth considering for extensive clinical use.