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目的:观察比较静脉麻醉镇痛法与宫颈、宫颈旁神经阻滞麻醉镇痛法在人工流产手术中的镇痛效果、宫颈扩张效果、术中出血量、人流综合征发生率。方法:选择来我院要求行静脉全麻镇痛法的100例患者为观察组,另选自愿要求行宫颈旁神经阻滞麻醉镇痛法的100例患者为对照组。观察组行丙泊酚+曲马多静脉复合全麻,待患者意识消失后行人流术。对照组于宫颈旁2.4.8.10多点进针抽吸,无回血后注入2%利多卡因各1ml,且棉签浸透2%利多卡因插入宫颈内口约3-5分钟后行人流术。结果:静脉全麻组取得良好的镇痛效果,其镇痛率与宫颈扩张率与宫颈旁神经阻滞麻醉有明显差异﹙P﹤0.05﹚。结论:静脉全麻镇痛法的无痛率高,效果好。
OBJECTIVE: To compare the analgesic effects of intravenous anesthesia analgesia with cervical and parautermal nerve block anesthesia analgesia in induced abortion, cervical dilatation, intraoperative blood loss and the incidence of human flow syndrome. Methods: One hundred patients were selected as the observation group. The other 100 patients who were asked to undergo anesthesia analgesia by cervical paraarral nerve block were selected as the control group. Observation group of propofol + tramadol intravenous composite anesthesia, until the patient disappeared after the abortion. Control group at the cervix next to 2.4.8.10 multi-point needle aspiration, injection of 2% lidocaine without back blood into the 1ml, and cotton swab soaked 2% lidocaine inserted into the cervix for about 3-5 minutes after the abortion. Results: The intravenous anesthesia group achieved good analgesic effect, and the analgesic rate and cervical dilatation rate were significantly different from those of paraesthesic nerve block anesthesia (P <0.05). Conclusion: The method of intravenous general anesthesia analgesia has high painless rate and good effect.