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将自愿人工流产的早孕未产妇 45 0例随机分为三组 (每组 15 0例 ) ,Ⅰ组异丙酚全麻 ,Ⅱ组异丙酚全麻加利多卡因宫颈局麻 ,Ⅲ组不用麻药。结果 :Ⅰ、Ⅱ组无痛率 ( 10 0 .0 % )明显高于Ⅲ组 ( 5 .3% ) ,Ⅱ组宫颈松弛率 ( 6 2 .0 % )明显高于Ⅰ、Ⅲ组 ( 6 .7% ,5 .3% ) ,Ⅱ组麻醉时间 ( 3.6 5± 1.35min)明显短于Ⅰ组 ( 5 .75± 1.42min) ,异丙酚用量 ( 99.47± 2 0 .19mg)明显少于Ⅰ组 ( 110 .2 0± 2 2 .72mg)。认为异丙酚联合利多卡因用于人工流产术既镇痛 ,又松弛宫颈 ,并可缩短麻醉时间 ,减少异丙酚用量
One hundred and fifty-eight pregnant women who were induced by abortion were randomly divided into three groups (150 cases in each group), general anesthesia with propofol in group I, general anesthesia with propofol in group II and local anesthesia with lidocaine in cervix, anesthetic. Results: The painless rate in group Ⅰ and Ⅱ was significantly higher than that in group Ⅲ (5.3%). The rate of cervical relaxation in group Ⅱ (62.0%) was significantly higher than that in group Ⅰ and Ⅲ (6. 7 and 5.3% respectively). The duration of anesthesia in group Ⅱ was significantly shorter than that in group Ⅰ (5.75 ± 1.42min) and propofol (99.47 ± 2.019mg) Group (110 .2 ± 2 2 .72 mg). That propofol combined with lidocaine for artificial abortion both analgesic, relaxation of the cervix, and can shorten the anesthesia time and reduce the amount of propofol