Study on the Application of Short-acting Intravenous Anesthetics in the First Pregnancy Painless Abortion

Objective To compare the effect of intravenous anesthesia combined with cervical local anesthesia and single intravenous anesthesia applied in the first pregnancy painless abortion. Methods 120 patients with first pregnancy painless abortion were randomly divided into three groups, group A was treated with single propofol; group B with fentanyl and propofol; group C with fentanyl, propofol combined with lidocaine injected in the cervix. And the safety and effect of these three schemes were evaluated. Results The effect of anesthesia and analgesia of group A was 92.5%, and that of the group B and group C was 100%, the cervical relaxation rate of group A was 68.5%, and that of group B and group C was 72.2%, 89.6%, respectively, the effect of anesthesia and analgesia of combined group was better than that of the single propofol(P0.5). In the aspect of postoperative safety,the awakening time of group A was(6.46±1.05) min, orientation recovery time was(10.4±2.05) min, longer than(6.46±1.05) min of group B and(10.4±2.05) min of group C, the difference was statistically significant(P0.05); and the incidence of abortion syndrome of group A was 3.75%, higher than 0% of group B and group C. Conclusion Intravenous anesthesia combined with cervical local anesthesia is a safe and effective method.