CAJ | 학술논문

目的比较剖宫产术后再次妊娠人工流产麻醉方法的选择及效果。方法将160例剖宫产术后再次妊娠要求手术流产者随机分为2组：宫术宁胶棒联合利多卡因、阿托品、地西泮麻醉下的负压吸引术（“局部麻醉组”）和芬太尼、异丙酚复合麻醉下的负压吸引术（“静脉麻醉组”）。观察2组术中宫颈扩张情况、疼痛程度、手术时间、术中出血量及并发症。结果静脉麻醉组镇痛作用优于局部麻醉组(P＜0.05)。局部麻醉组宫颈松弛度、手术时间与静脉麻醉组比较差异有统计学意义(P＜0.05)。结论两组麻醉方法终止早孕各有优缺点。局部麻醉与静脉麻醉在人工流产中可以满足不同层次育龄妇女的需求。
목적비교부궁산술후재차임신인공유산마취방법적선택급효과。방법장160례부궁산술후재차임신요구수술유산자수궤분위2조：궁술저효봉연합리다잡인、아탁품、지서반마취하적부압흡인술（“국부마취조”）화분태니、이병분복합마취하적부압흡인술（“정맥마취조”）。관찰2조술중궁경확장정황、동통정도、수술시간、술중출혈량급병발증。결과정맥마취조진통작용우우국부마취조(P＜0.05)。국부마취조궁경송이도、수술시간여정맥마취조비교차이유통계학의의(P＜0.05)。결론량조마취방법종지조잉각유우결점。국부마취여정맥마취재인공유산중가이만족불동층차육령부녀적수구。
[Asract] Objective To compare the choices and effects of anesthesia methods for artificial abortion after caesarean section. Methods The 160 cases of artificial abortion after cesarean section were random divided into 2 groups: Vacuum aspiration with the use of Gongshuning glue stick, Lidocaine, Atropine and Diazepam (the “local anesthesia group” ) and vacuum aspiration with the use of Fentanyl and Diprivan (the “intravenous anesthesia group”). Dilation of cervical canal during operation, pain intensity, duration of operation, bleeding loss during operation and complications in 2 groups were observed. Results Analgesic effects of intravenous anesthesia group were better than that of local anesthesia group(P<0. 05). There were significant differences of slackness of cervical canal and duration of operation between local anesthesia group and intravenous anesthesia(P<0.05). Conclusion Both anesthesia methods for artificial abortion have their advantages and disadvantages. Local anesthesia and intravenous anesthesia can meet demands of women of childbearing age from different levels in artificial abortions.