甘肃医药
甘肅醫藥
감숙의약
Gansu Medical Journal
2015年
8期
572-574
,共3页
人工流产%镇痛%针刺耳贴穴位%笑气%阿托品%盐酸丁卡因胶浆
人工流產%鎮痛%針刺耳貼穴位%笑氣%阿託品%鹽痠丁卡因膠漿
인공유산%진통%침자이첩혈위%소기%아탁품%염산정잡인효장
artificial abortion%analgesia%needle sharp stick meridians%laughing gas%atropine%tetracaine hydrochloride mucilage
目的：探讨针刺并阿托品联合笑气对人工流产的镇痛效果。方法：选择自愿行无痛人工流产早孕患者1863例，其中观察组925例，术前即肌肉注射阿托品1mg，针刺合谷、足三里、三阴交穴位，耳贴子宫、神门、内分泌、交感穴位，于扩宫前吸入笑气，后窥开暴露宫颈口挤入盐酸丁卡因胶浆，宫颈松弛后施术，术中可间断吸入笑气至手术结束；对照组938例，仅吸入笑气，人工流产手术均按常规进行。观察两组病人对疼痛的反应，宫颈扩展度，人工流产综合征及术中的出血。结果：观察组镇痛效果及宫口松弛度均明显优于对照组，有显著性差异（P＜0.05），人工流产综合征发生率明显低于对照组（P＜0.05），术中出血量差异无统计学意义（P＞0.05）。结论：针刺耳贴穴位并阿托品肌注联合笑气吸入对人工流产的镇痛效果显著、可靠，对受术者无不良影响，是安全可靠方便的无痛人工流产方法。
目的：探討針刺併阿託品聯閤笑氣對人工流產的鎮痛效果。方法：選擇自願行無痛人工流產早孕患者1863例，其中觀察組925例，術前即肌肉註射阿託品1mg，針刺閤穀、足三裏、三陰交穴位，耳貼子宮、神門、內分泌、交感穴位，于擴宮前吸入笑氣，後窺開暴露宮頸口擠入鹽痠丁卡因膠漿，宮頸鬆弛後施術，術中可間斷吸入笑氣至手術結束；對照組938例，僅吸入笑氣，人工流產手術均按常規進行。觀察兩組病人對疼痛的反應，宮頸擴展度，人工流產綜閤徵及術中的齣血。結果：觀察組鎮痛效果及宮口鬆弛度均明顯優于對照組，有顯著性差異（P＜0.05），人工流產綜閤徵髮生率明顯低于對照組（P＜0.05），術中齣血量差異無統計學意義（P＞0.05）。結論：針刺耳貼穴位併阿託品肌註聯閤笑氣吸入對人工流產的鎮痛效果顯著、可靠，對受術者無不良影響，是安全可靠方便的無痛人工流產方法。
목적：탐토침자병아탁품연합소기대인공유산적진통효과。방법：선택자원행무통인공유산조잉환자1863례，기중관찰조925례，술전즉기육주사아탁품1mg，침자합곡、족삼리、삼음교혈위，이첩자궁、신문、내분비、교감혈위，우확궁전흡입소기，후규개폭로궁경구제입염산정잡인효장，궁경송이후시술，술중가간단흡입소기지수술결속；대조조938례，부흡입소기，인공유산수술균안상규진행。관찰량조병인대동통적반응，궁경확전도，인공유산종합정급술중적출혈。결과：관찰조진통효과급궁구송이도균명현우우대조조，유현저성차이（P＜0.05），인공유산종합정발생솔명현저우대조조（P＜0.05），술중출혈량차이무통계학의의（P＞0.05）。결론：침자이첩혈위병아탁품기주연합소기흡입대인공유산적진통효과현저、가고，대수술자무불량영향，시안전가고방편적무통인공유산방법。
Objective:To explore the analgesic effect of acupuncture and atropine combined with laughing gas in intraoperative analgesia of artificial abortion patients. Methods:1863 cases of voluntary painless artificial abortion, 925 cases in observation group who were injected preoperative intramuscularly atropine 1mg; acupunctured valley, foot three mile, three Yin meridians;pressed auricular point, door god, endocrine, sympathetic acupoints; inhaled laughing gas prior to the expansion of palace, intruded tetracaine hydrochloride jelly after exposure cervix; inhaled intermittently laughing gas until the end of surgery. 938 cases of control group, only inhaled laughing gas, and artificial abortions was performed routinely. Patients response to pain, cervical extension, in artificial abortion syndrome and bleeding were observed in two group. Results:Analgesia effect and palace mouth sags were significantly higher than that of control group, with significant difference(P<0.05), the incidence of induced abortion syndrome significantly lower than the control group(P<0.05). There was no statistically significant difference in intraoperative blood loss of two groups (P>0.05). Conclusion:Needle sharp stick acupoints and atropine intramuscular injection combined with nitrous oxide inhalation is significant of analgesic effects, no adverse effect on subjects, reliable and convenient method of painless induced abortion.
