Background and Objectives: Propofol is a commonly used intravenous anesthetic for painless artificial abortion, but the injection pain and related adverse reactions such as those related to respiration and circulation...Background and Objectives: Propofol is a commonly used intravenous anesthetic for painless artificial abortion, but the injection pain and related adverse reactions such as those related to respiration and circulation it induces have also been criticized. We aimed to conduct a comparative study on the efficacy, safety and comfort of ciprofol and propofol applied in painless artificial abortion. Materials and Methods: A total of 140 early pregnant patients undergoing painless induced abortion were selected and randomly divided into the ciprofol combined with fentanyl group (Group C) and the propofol combined with fentanyl group (Group P), with 70 cases in each group. The anesthetic effect, depth of anesthesia sedation (NI), onset time, recovery time, recovery time of orientation, retention time in the anesthesia recovery room and total amount of intravenous anesthetic drug were recorded in both groups. The respiratory rate (RR), oxygen saturation (SpO2), mean arterial pressure (MAP), and heart rate (HR) at different time points were recorded. The occurrence of perioperative adverse events, injection pain, postoperative nausea and vomiting, and dizziness were compared. The pain score at 30 minutes after operation and the satisfaction of patients and surgeons with anesthesia were evaluated. Results: The success rate of anesthesia in both groups was 100%. There were no statistically significant differences in the NI value at each time point, intraoperative body movement, recovery time, recovery time of orientation, retention time in the anesthesia recovery room, and total dosage of sedative drugs (ml) between the two groups;the onset time in Group C was longer than that in Group P, with a statistically significant difference (P Conclusion: The efficacy of ciprofol in painless induced abortion is equivalent to that of propofol, and the incidence of adverse reactions is lower than that of propofol, with higher safety and comfort.展开更多
BACKGROUND Improper methods of contraception greatly increase the risk of abortion,cervical or endometrial lesions,and the number of recurrent artificial abortions.These complications result in the deterioration of a ...BACKGROUND Improper methods of contraception greatly increase the risk of abortion,cervical or endometrial lesions,and the number of recurrent artificial abortions.These complications result in the deterioration of a patient’s outcome.Further,the proportion of artificial abortions is highest among unmarried females.Placement of an intrauterine device,such as the Mirena,after an artificial abortion may decrease the likelihood of an endometrial injury caused by recurrent abortions while significantly improving its contraceptive effects.AIM To discuss the effect of Mirena placement on reproductive hormone levels at different time points after an artificial abortion.METHODS Women(n=119)undergoing an artificial abortion operation were divided into the study(n=56)and control(n=63)groups.In the study group,the Mirena was inserted immediately after the artificial abortion,whereas in the control group,it was inserted 4–7 d after the onset of the first menstrual cycle after abortion.All participants were followed-up for 6 mo to observe the continuation and expulsion rates and adverse reactions and to measure the levels of serum estradiol(E2),follicle stimulating hormone(FSH),and luteinizing hormone(LH).RESULTS The continuation rates were 94.64%and 93.65%in the study group and the control group,respectively.The expulsion rates were 1.79%and 3.17%in the study group and the control group,respectively.There was no statistically significant difference between the two groups(P>0.05).There were also no statistically significant differences in the proportion of patients with bacterial vaginitis,trichomonas vaginitis,or cervicitis between the groups(P>0.05).Six months after Mirena placement,E2 Levels were 45.50±7.13 pg/mL and 42.91±8.10 pg/mL,FSH 13.60±3.24 mIU/mL and 14.54±3.11 mIU/mL,and LH 15.11±2.08 mIU/mL and 14.60±3.55 mIU/mL in the study and control groups,respectively.There were no significant differences in hormone levels between the two groups(P>0.05).There were also no statistically significant differences in the proportions of abnormal menstruation,prolonged menstruation,or pain during intercourse between the study and control groups after Mirena placement(P>0.05).There were no statistically significant differences in uterine volume,sexual desire,sexual activity,or the sexual satisfaction score between the study and control groups before and after Mirena placement(P>0.05).CONCLUSION Placement of a Mirena intrauterine device immediately after an artificial abortion does not increase the risk of adverse reactions and can help prevent endometrial injury caused by recurrent abortions.展开更多
In the present study, the effect of electroacupuncture (EA) of acupoints of Ren, Spleen and Stomach Meridians on artificial abortion induced side effects was observed in 100 artificial abortion women. In comparison wi...In the present study, the effect of electroacupuncture (EA) of acupoints of Ren, Spleen and Stomach Meridians on artificial abortion induced side effects was observed in 100 artificial abortion women. In comparison with 45 artificial abortion women in the control group (who had not accepted EA treatment), EA possessed significant effects in relieving abdominal pain, reducing vaginal bleeding duration, lowering infection rate and infertility rate after artificial abortion operation.展开更多
目的探讨日间人工流产术患者术前焦虑与信息需求现状及影响因素。方法选取2023年8月至2024年4月首都医科大学附属北京同仁医院行日间人工流产术的患者。应用横断面调查研究方法,采用一般资料调查表、恐惧项目调查表和阿姆斯特丹术前焦...目的探讨日间人工流产术患者术前焦虑与信息需求现状及影响因素。方法选取2023年8月至2024年4月首都医科大学附属北京同仁医院行日间人工流产术的患者。应用横断面调查研究方法,采用一般资料调查表、恐惧项目调查表和阿姆斯特丹术前焦虑与信息量表(Amsterdam preoperative anxiety and information scale,APAIS)进行问卷调查,采用多重线性回归分析日间人工流产术患者术前焦虑及信息需求的影响因素,采用Pearson相关分析患者术前焦虑与信息需求的相关性。结果共纳入447例患者,年龄18~44岁,平均(32.7±5.7)岁。患者APAIS总得分为(12.50±4.70)分,其中术前焦虑分量表得分为(7.96±3.26)分,61.97%的患者处于高度焦虑水平。患者信息需求总得分(7.54±1.91)分,42.28%的患者处于高信息需求水平。多重线性回归分析结果显示,年龄、主要照顾者健康状况、既往手术史和既往手术体验是患者术前焦虑的影响因素(P<0.05),其中既往手术史对术前焦虑得分的影响最大,其次是主要照顾者健康状况和既往手术体验,年龄对术前焦虑得分的影响最小;主要照顾者健康状况、既往手术史和既往手术体验是日间人工流产手术患者信息需求的影响因素(P<0.05),其中主要照顾者健康状况对信息需求得分的影响最大,其次是既往手术史,既往手术体验对信息需求得分的影响最小。Pearson相关分析结果显示,术前焦虑总分与信息需求总分、中信息需求、高信息需求呈正相关,与低信息需求呈负相关(P<0.05)。结论日间人工流产术患者术前焦虑和信息需求水平较高。主要照顾者健康状况、既往手术史和既往手术体验是患者术前焦虑和信息需求共同的主要影响因素。建议医护人员对患者进行术前焦虑筛查,给予相应心理支持,并运用科学的方法提供相关信息和知识,缓解患者术前焦虑,满足信息需求。展开更多
目的比较无痛人工流产和药物流产辅以清宫术对终止早期妊娠女性的影响。方法选取2022年9月至2023年10月本院收治的70例终止早期妊娠女性,随机分为两组各35例。对照组行无痛人工流产,观察组行药物流产辅以清宫术。对比两组的治疗效果。...目的比较无痛人工流产和药物流产辅以清宫术对终止早期妊娠女性的影响。方法选取2022年9月至2023年10月本院收治的70例终止早期妊娠女性,随机分为两组各35例。对照组行无痛人工流产,观察组行药物流产辅以清宫术。对比两组的治疗效果。结果观察组腹痛持续时间长于对照组,阴道流血持续时间短于对照组,术后1 d VAS评分高于对照组(P<0.05)。术后,观察组雌二醇(E_(2))、促卵泡生成素(FSH)水平高于对照组,促黄体生成素(LH)水平低于对照组(P<0.05)。结论无痛人工流产引起的疼痛更轻,而药物流产辅以清宫术更能够调节终止早期妊娠女性的性激素水平,缩短阴道出血时间,无严重并发症。展开更多
文摘Background and Objectives: Propofol is a commonly used intravenous anesthetic for painless artificial abortion, but the injection pain and related adverse reactions such as those related to respiration and circulation it induces have also been criticized. We aimed to conduct a comparative study on the efficacy, safety and comfort of ciprofol and propofol applied in painless artificial abortion. Materials and Methods: A total of 140 early pregnant patients undergoing painless induced abortion were selected and randomly divided into the ciprofol combined with fentanyl group (Group C) and the propofol combined with fentanyl group (Group P), with 70 cases in each group. The anesthetic effect, depth of anesthesia sedation (NI), onset time, recovery time, recovery time of orientation, retention time in the anesthesia recovery room and total amount of intravenous anesthetic drug were recorded in both groups. The respiratory rate (RR), oxygen saturation (SpO2), mean arterial pressure (MAP), and heart rate (HR) at different time points were recorded. The occurrence of perioperative adverse events, injection pain, postoperative nausea and vomiting, and dizziness were compared. The pain score at 30 minutes after operation and the satisfaction of patients and surgeons with anesthesia were evaluated. Results: The success rate of anesthesia in both groups was 100%. There were no statistically significant differences in the NI value at each time point, intraoperative body movement, recovery time, recovery time of orientation, retention time in the anesthesia recovery room, and total dosage of sedative drugs (ml) between the two groups;the onset time in Group C was longer than that in Group P, with a statistically significant difference (P Conclusion: The efficacy of ciprofol in painless induced abortion is equivalent to that of propofol, and the incidence of adverse reactions is lower than that of propofol, with higher safety and comfort.
文摘BACKGROUND Improper methods of contraception greatly increase the risk of abortion,cervical or endometrial lesions,and the number of recurrent artificial abortions.These complications result in the deterioration of a patient’s outcome.Further,the proportion of artificial abortions is highest among unmarried females.Placement of an intrauterine device,such as the Mirena,after an artificial abortion may decrease the likelihood of an endometrial injury caused by recurrent abortions while significantly improving its contraceptive effects.AIM To discuss the effect of Mirena placement on reproductive hormone levels at different time points after an artificial abortion.METHODS Women(n=119)undergoing an artificial abortion operation were divided into the study(n=56)and control(n=63)groups.In the study group,the Mirena was inserted immediately after the artificial abortion,whereas in the control group,it was inserted 4–7 d after the onset of the first menstrual cycle after abortion.All participants were followed-up for 6 mo to observe the continuation and expulsion rates and adverse reactions and to measure the levels of serum estradiol(E2),follicle stimulating hormone(FSH),and luteinizing hormone(LH).RESULTS The continuation rates were 94.64%and 93.65%in the study group and the control group,respectively.The expulsion rates were 1.79%and 3.17%in the study group and the control group,respectively.There was no statistically significant difference between the two groups(P>0.05).There were also no statistically significant differences in the proportion of patients with bacterial vaginitis,trichomonas vaginitis,or cervicitis between the groups(P>0.05).Six months after Mirena placement,E2 Levels were 45.50±7.13 pg/mL and 42.91±8.10 pg/mL,FSH 13.60±3.24 mIU/mL and 14.54±3.11 mIU/mL,and LH 15.11±2.08 mIU/mL and 14.60±3.55 mIU/mL in the study and control groups,respectively.There were no significant differences in hormone levels between the two groups(P>0.05).There were also no statistically significant differences in the proportions of abnormal menstruation,prolonged menstruation,or pain during intercourse between the study and control groups after Mirena placement(P>0.05).There were no statistically significant differences in uterine volume,sexual desire,sexual activity,or the sexual satisfaction score between the study and control groups before and after Mirena placement(P>0.05).CONCLUSION Placement of a Mirena intrauterine device immediately after an artificial abortion does not increase the risk of adverse reactions and can help prevent endometrial injury caused by recurrent abortions.
文摘In the present study, the effect of electroacupuncture (EA) of acupoints of Ren, Spleen and Stomach Meridians on artificial abortion induced side effects was observed in 100 artificial abortion women. In comparison with 45 artificial abortion women in the control group (who had not accepted EA treatment), EA possessed significant effects in relieving abdominal pain, reducing vaginal bleeding duration, lowering infection rate and infertility rate after artificial abortion operation.
文摘目的探讨日间人工流产术患者术前焦虑与信息需求现状及影响因素。方法选取2023年8月至2024年4月首都医科大学附属北京同仁医院行日间人工流产术的患者。应用横断面调查研究方法,采用一般资料调查表、恐惧项目调查表和阿姆斯特丹术前焦虑与信息量表(Amsterdam preoperative anxiety and information scale,APAIS)进行问卷调查,采用多重线性回归分析日间人工流产术患者术前焦虑及信息需求的影响因素,采用Pearson相关分析患者术前焦虑与信息需求的相关性。结果共纳入447例患者,年龄18~44岁,平均(32.7±5.7)岁。患者APAIS总得分为(12.50±4.70)分,其中术前焦虑分量表得分为(7.96±3.26)分,61.97%的患者处于高度焦虑水平。患者信息需求总得分(7.54±1.91)分,42.28%的患者处于高信息需求水平。多重线性回归分析结果显示,年龄、主要照顾者健康状况、既往手术史和既往手术体验是患者术前焦虑的影响因素(P<0.05),其中既往手术史对术前焦虑得分的影响最大,其次是主要照顾者健康状况和既往手术体验,年龄对术前焦虑得分的影响最小;主要照顾者健康状况、既往手术史和既往手术体验是日间人工流产手术患者信息需求的影响因素(P<0.05),其中主要照顾者健康状况对信息需求得分的影响最大,其次是既往手术史,既往手术体验对信息需求得分的影响最小。Pearson相关分析结果显示,术前焦虑总分与信息需求总分、中信息需求、高信息需求呈正相关,与低信息需求呈负相关(P<0.05)。结论日间人工流产术患者术前焦虑和信息需求水平较高。主要照顾者健康状况、既往手术史和既往手术体验是患者术前焦虑和信息需求共同的主要影响因素。建议医护人员对患者进行术前焦虑筛查,给予相应心理支持,并运用科学的方法提供相关信息和知识,缓解患者术前焦虑,满足信息需求。
文摘目的比较无痛人工流产和药物流产辅以清宫术对终止早期妊娠女性的影响。方法选取2022年9月至2023年10月本院收治的70例终止早期妊娠女性,随机分为两组各35例。对照组行无痛人工流产,观察组行药物流产辅以清宫术。对比两组的治疗效果。结果观察组腹痛持续时间长于对照组,阴道流血持续时间短于对照组,术后1 d VAS评分高于对照组(P<0.05)。术后,观察组雌二醇(E_(2))、促卵泡生成素(FSH)水平高于对照组,促黄体生成素(LH)水平低于对照组(P<0.05)。结论无痛人工流产引起的疼痛更轻,而药物流产辅以清宫术更能够调节终止早期妊娠女性的性激素水平,缩短阴道出血时间,无严重并发症。
