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目的观察凯芬超前镇痛对无痛人工流产术后下腹部疼痛的缓解情况。方法选择拟实施异丙酚麻醉下人工流产的患者68例,随机将患者分为A组(试验组)和B组(对照组),每组各34例。A组:异丙酚麻醉前静脉注射凯芬50mg;B组:无特殊处理。两组患者麻醉用药(芬太尼0.5mg+异丙酚4mg/kg)和手术方法相同,采用视觉模拟评分法(VAS)测定记录术后30min(t1)、8h(t2)、12h(t3)时患者下腹部疼痛程度。结果静脉推注凯芬(A组)可显著减轻人工流产术后3个时间点下腹部疼痛强度,与B组同时相点相比较差异有统计学意义(P<0.05)。结论凯芬超前镇痛可显著缓解无痛人工流产术后下腹部疼痛。
Objective To observe the relief of advanced abdominal pain caused by painless induced abortion. Methods Sixty-eight cases of induced abortion under propofol anesthesia were randomly divided into group A (experimental group) and group B (control group), with 34 cases in each group. Group A: Propofol 50mg before anesthesia intravenous injection; Group B: No special treatment. The anesthetic medication (fentanyl 0.5mg + propofol 4mg / kg) was the same as that of the operation method. The visual analogue scale (VAS) was used to record the changes of the fentanyl at 30min (t1), 8h (t2), 12h Lower abdominal pain in patients with degree. Results Intravenous Kaifen (group A) significantly reduced abdominal pain intensity at 3 time points after induced abortion, which was significantly different from that of group B (P <0.05). Conclusions Keffin advanced analgesia can significantly relieve pain after artificial abortion.