丙泊酚复合芬太尼两种麻醉方法用于人工流产手术的临床分析

Clinical Analysis of Two Methods of Propofol Combined Fentanil on Induced Abortion

目的:比较丙泊酚复合芬太尼两种麻醉方法在人工流产手术中和手术后的镇痛效果及对人流综合征的影响;利多卡因是否可替代米索前列醇扩展和软化宫颈管的作用。方法:A组:丙泊酚复合芬太尼1g/kg+10g;B组:在A组的基础上加2%利多卡因5ml宫颈旁注射。结果:两种麻醉方法在手术中的镇痛效果均良好,且均可降低人流综合征的发生率,但B组在手术后2h的镇痛效果和降低人流综合征的效果显著优于A组。利多卡因可扩展和松弛宫颈管,可替代米索前列醇扩展和软化宫颈管。结论:丙泊酚复合芬太尼实施无痛人流手术中,应联合应用利多卡因施行宫颈旁阻滞,实行术后镇痛和预防人流综合征的发生;手术前可以不必服用米索前列醇。

Objective： To compare analgesic effects of induced abortion syndrome （IAS） with two methods of Propofol combined Fentanil and influence in ratio of IAS upon them. Can Lidocaine replace Misoprostol to dilating and softening cervical canal？ Methods： Group A ： 1.5 - 2. 0mg/kg Propofol combined 1 g/kg ＋ 10g Fentanil; Group B ： Group A, in addition to 2% Lidocaine solution 5ml injected in paracervix of uterus. Results： the analgesic effects of two anesthetic methods in operation are significant, and decreasing ratio of IAS both them, but the analgesic effects on postoperation within 2hs of Group B and to decrease ratio of IAS are more signifi- cant than Group A. Lidocaine dilating and relaxing cervical canal, it can replace Misoprostol. Conclusions： induced abortion with Propofol combined Fentanil may be performed with Lidocaine injected in paracervix of uterus to block peripheral nerve, for postopera- tion analgesia and preventing IAS; Misoprostol must not be taken before operation.