论文部分内容阅读
目的:分析丙泊酚与笑气在无痛人流手术中的临床效果。方法:回顾性分析了500例自愿终止妊娠的早孕妇女,按照麻醉方式将其分为两组:丙泊酚组(A组)、笑气吸入组(B组),观察两组孕妇术中镇痛效果、扩宫难易度与并发症等症状表现。结果:①镇痛效果A组极佳,有效率达到100%,B组有效率为90%,两组镇痛效果差异显著(P<0.01);②A组无阻力扩宫率为95%,B组为75%,两组比较差异显著(P<0.01);③两组患者术中血压、氧分压及脉搏等均保持相对稳定,无明显毒副反应,术中出血量、手术时间、不全流产率等方面无显著性差异。结论:丙泊酚与笑气应用于无痛人流术中镇痛安全有效,可根据患者的具体情况选择使用。
Objective: To analyze the clinical effect of propofol and nitrous oxide in painless abortion. Methods: A retrospective analysis of 500 pregnant women who voluntarily terminate pregnancy was divided into two groups according to anesthesia: propofol group (A group) and nitrous oxide inhalation group (B group) Pain effect, expansion of the degree of difficulty and complications and other symptoms. Results: (1) The analgesic effect was excellent in group A, the effective rate was 100%, the effective rate in group B was 90%, the difference was statistically significant (P <0.01) (P <0.01) .③The blood pressure, partial pressure of oxygen and pulse in the two groups remained relatively stable, no obvious side effects, blood loss, operation time, incomplete Abortion rate no significant difference. Conclusion: Propofol and nitrous oxide are safe and effective for analgesia in painless abortion, which can be selected according to the specific conditions of patients.