异丙酚配伍间苯三酚应用于无痛人工流产300例临床分析

Clinical analysis of 300 cases of application of Phloroglucinol and propofol in painless induced abortion

目的:探讨异丙酚配伍间苯三酚应用于人工流产镇痛中的疗效,在于寻找一种安全有效的无痛人工流产术。方法:将300例随机分成观察组150例,在麻醉诱导前15 min肌肉注射间苯三酚40 mg,再静推异丙酚2.5 mg/kg施行手术。对照组150例,在宫颈旁2、7点处分别注入2%利多卡因2.5 ml,2 min后手术。结果:观察组麻醉效果、术中疼痛、宫口松弛、人工流产综合征(RAAS)发生率与对照组比较差异有统计学意义(P<0.05)。结论:异丙酚配伍间苯三酚是人工流产术中的适应麻醉方法,安全、简单,镇痛效果好,不良反应小,费用低,适用于基层医院,值得临床推广。

Objective：To discuss the curative effect of Phloroglucinol and propofol for painless induced abortion and to find a safe and effective painless induced abortion.Methods：A total of 300 cases were divided into two groups randomly and equally.Fifteen minutes before anesthesia induction,40 mg Phloroglucinol and 2.5 mg/kg Propofol were intravenous injected in Phloroglucinol group.Two minutes before the operation,2% Lidocaine were injected in the paracervical 2∶ 00 and 7∶ 00 in control group.Results：The differences of effect of anesthesia,intraoperative pain,cervix relaxation,flow syndrome（RAAS） were significant between the two groups（P0.05）.Conclusion：Phloroglucinol combined with propofol is one of the adaptable anesthetic method for painless induced abortion,and it＇s safe,simple,well analgesic effect,little side effects,worthy of promotion.