【摘要】 目的 探讨静脉用双异丙酚行无痛人流时，对人流时间、宫颈松弛、出血量及防止人流综合征的发生进行观察。方法 对1146例早期妊娠要求人工流产手术者，行双异丙酚静脉麻醉下人流术，观察镇痛效果、手术时间、宫颈松弛度、术中患者心率、SpO2的变化、有无恶心呕吐以及出血量的情况。结果 1146例用双异丙酚的患者均无疼痛感觉，手术时间短、宫颈松弛良好、心率下降，SpO2下降，恶心、呕吐发生率明显降低，出血量也较低。结论 用双异丙酚静脉推注方法行无痛人流术，有缩短手术时间、松弛宫颈、减少术中出血量的优点，可以明显减少人流综合征的发生，有明显的镇痛效果。

    【关键词】 双异丙酚；无痛；人工流产

    Propofol in painless abortion:a report of 1146 cases

    CUI Xiao-bing，KE Xiao-yan.

    Guangzhou Panyu Dagang People's Hospital 511470,China

    【Abstract】 Objective To explore effects of propofol injection on painless abortion in terms of abortion timing,cervix relaxation,amount of bleeding,etc.ethods 1146 cases of abortion were selected,propofol injection was used to perform painless abortion.Analgesic effect,surgery duration,cervix relax degree,heart rate,SpO2 and other symptoms were observed. ......