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目的观察丙泊酚与芬太尼联合应用在无痛人工流产术中的疗效。方法收集本院2007年1月~2010年12月门诊收治的宫内早孕患者109例,在丙泊酚与芬太尼联合应用麻醉下行无痛人工流产术。结果 90例患者在手术中,宫口松弛,术后宫缩具体、无出血;5例患者手术中患者宫口紧,需行扩宫术,12例患者宫口松弛,子宫收缩欠佳,需用缩宫素针,促进宫缩止血。2例患者术后仍有轻微下腹坠痛,1h后消失。结论丙泊酚与芬太尼在无痛人工流产术中联合应用是安全有效的。
Objective To observe the effect of propofol combined with fentanyl in painless artificial abortion. Methods A total of 109 cases of intrauterine pregnancy in our hospital from January 2007 to December 2010 were collected, and painless artificial abortion was performed under propofol and fentanyl anesthesia. Results In the operation of 90 cases, the cervix was loosened and the postoperative uterine contractions were specific and without hemorrhage. In 5 patients, the uterine stricture of the patients underwent surgery and the expansion of the uterus was required. Twelve patients had cervix relaxation and poor uterine contractions. With oxytocin needle, to promote contractions to stop bleeding. Two patients still had slight abdominal pain and disappeared after 1h. Conclusion The combination of propofol and fentanyl in painless artificial abortion is safe and effective.