中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2014年
2期
30-31
,共2页
宫颈扩张棒%氧化亚氮%人工流产%镇痛
宮頸擴張棒%氧化亞氮%人工流產%鎮痛
궁경확장봉%양화아담%인공유산%진통
Cervical dilator%Nitrous oxide%Artificial abortion%Analgesia
目的：探讨一次性宫颈扩张棒联合笑气(氧化亚氮)在人工流产术中镇痛的临床效果。方法：将200例实施人工流产术的妇女分成两组，观察组100例，术前5m i n放置一次性宫颈扩张棒；对照组100例，术前1小时于后穹窿放置米索前列醇600μg，两组术中吸入笑气。观察两组术中及术后镇痛效果、宫颈扩张情况、吸入笑气时限、手术前后血压和脉搏变化、副反应发生率、人均诊疗时间以及术后10天子宫复旧情况。结果：观察组与对照组比较：术中镇痛有效率分别为94%和96%；术后镇痛有效率分别为96%和58%；无阻力通过6.5号Hegar宫颈扩张器分别为97%和81%；吸入笑气时限分别为2.58和4.97min，诊疗时限分别为35min和108min，两者差异有统计学意义；人流综合征发生率均较低；观察组未发生副反应，而对照组为13%，术后10天子宫复旧均良好。结论：一次性宫颈扩张棒联合笑气对于人工流产术有良好的镇痛效果，而且术后仍然能持续镇痛，不影响子宫复旧，缩短了笑气吸入时限及诊疗时间，降低了手术风险，副反应少，故值得临床使用。
目的：探討一次性宮頸擴張棒聯閤笑氣(氧化亞氮)在人工流產術中鎮痛的臨床效果。方法：將200例實施人工流產術的婦女分成兩組，觀察組100例，術前5m i n放置一次性宮頸擴張棒；對照組100例，術前1小時于後穹窿放置米索前列醇600μg，兩組術中吸入笑氣。觀察兩組術中及術後鎮痛效果、宮頸擴張情況、吸入笑氣時限、手術前後血壓和脈搏變化、副反應髮生率、人均診療時間以及術後10天子宮複舊情況。結果：觀察組與對照組比較：術中鎮痛有效率分彆為94%和96%；術後鎮痛有效率分彆為96%和58%；無阻力通過6.5號Hegar宮頸擴張器分彆為97%和81%；吸入笑氣時限分彆為2.58和4.97min，診療時限分彆為35min和108min，兩者差異有統計學意義；人流綜閤徵髮生率均較低；觀察組未髮生副反應，而對照組為13%，術後10天子宮複舊均良好。結論：一次性宮頸擴張棒聯閤笑氣對于人工流產術有良好的鎮痛效果，而且術後仍然能持續鎮痛，不影響子宮複舊，縮短瞭笑氣吸入時限及診療時間，降低瞭手術風險，副反應少，故值得臨床使用。
목적：탐토일차성궁경확장봉연합소기(양화아담)재인공유산술중진통적림상효과。방법：장200례실시인공유산술적부녀분성량조，관찰조100례，술전5m i n방치일차성궁경확장봉；대조조100례，술전1소시우후궁륭방치미색전렬순600μg，량조술중흡입소기。관찰량조술중급술후진통효과、궁경확장정황、흡입소기시한、수술전후혈압화맥박변화、부반응발생솔、인균진료시간이급술후10천자궁복구정황。결과：관찰조여대조조비교：술중진통유효솔분별위94%화96%；술후진통유효솔분별위96%화58%；무조력통과6.5호Hegar궁경확장기분별위97%화81%；흡입소기시한분별위2.58화4.97min，진료시한분별위35min화108min，량자차이유통계학의의；인류종합정발생솔균교저；관찰조미발생부반응，이대조조위13%，술후10천자궁복구균량호。결론：일차성궁경확장봉연합소기대우인공유산술유량호적진통효과，이차술후잉연능지속진통，불영향자궁복구，축단료소기흡입시한급진료시간，강저료수술풍험，부반응소，고치득림상사용。
Objective: To discuss clinical analgesia effect for disposable cervical dilator bar combined with nitrous oxide ( N2O ) in artificial abortion.Methods: 200 cases of artificial abortion women divided into two groups, the observation group 100 cases, preoperative 5 minutes putting disposable cervical dilator bar; the control group of 100 cases, 1 hours before surgery in the posterior fornix placed misoprostol 600 μg, while two groups with intraoperative nitrous oxide inhalation. To observe two groups of intraoperative and postoperative analgesia, dilatation of cervix, nitrous oxide inhalation time, blood pressure and pulse changes before and after operation, the incidence of side effects, treatment time and average per capita 10 days after operation on involution of uterus. Results: Observation group compared with the control group: intraoperative analgesia effective rate was 94% and 96%;After the analgesic efficiency were 96% and 58%; no resistance through 6.5 Hegar cervical dilator were 97% and 81%; nitrous oxide inhalation time were 2.58 and 4.97 minutes, treatment time were 35 minutes and 108 minutes, there were significant differences; Incidence of induced abortion syndrome were lower; observation group without side reactions, while the control group was 13%, 10 days after the operation uterine involution are good. Conclusions: Disposable cervical dilator for Artificial Abortion Anesthesia with nitrous oxide has good analgesic effect, and postoperative can stil continuous analgesia, no influence on involution of uterus, shorten the time limit and nitrous oxide inhalation treatment time, reduce the operation risk, less side reaction, so it is worthy of clinical use.
