丙泊酚静脉麻醉在无痛人工流产中的临床应用效果

Clinical Application Effect of Propofol Intravenous Anesthesia in Painless Induced Abortion

目的 探讨在无痛人工流产患者中采用丙泊酚静脉麻醉的临床效果。方法 选取2021年12月—2022年12月在古田东区医院实施人工流产术的900例患者为研究对象,所有患者随机分为对照组166例及观察组734例。对照组进行传统流产手术联合安慰剂麻醉,观察组实施丙泊酚静脉麻醉的无痛人工流产术。比较两组患者的镇痛效果、术后并发症发生情况、术中出血量和手术时间。结果 对照组的镇痛总有效率为61.45%,低于观察组的99.46%,差异有统计学意义(P<0.05)。观察组患者的手术时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。对照组的并发症发生率为16.27%,高于观察组的4.22%,差异有统计学意义(P<0.05)。结论 采用丙泊酚静脉麻醉进行无痛人工流产术,具有镇痛效果好、并发症发生率低等优势,值得推广使用。

Objective To explore the clinical effect of propofol intravenous anesthesia in patients with painless induced abortion.Methods A total of 900 patients who underwent painless induced abortion at Gutian East District Hospital from December 2021 to December 2022 were selected as the study subjects.All patients were randomly divided into a control group of 166 cases and an observation group of 734 cases.The control group received traditional abortion surgery combined with placebo anesthesia,while the observation group received painless induced abortion surgery under propofol intravenous anesthesia.The analgesic effect,postoperative complications,intraoperative bleeding volume,and surgical time were compared between the two groups.Results The total effective rate of analgesia in the control group was 61.45%,significantly lower than the observation group’s 99.46%(P<0.05).The surgical time of the observation group was significantly shorter than that of the control group,and the intraoperative bleeding was significantly less than that of the control group(P<0.05).The incidence of complications in the control group was 16.27%,significantly higher than 4.22%in the observation group(P<0.05).Conclusion The propofol intravenous anesthesia in painless induced abortion has advantages,such as good analgesic effect and low incidence of complications,which is worth promoting and application.