OBJECTIVE: To compare anesthesia and analgesia effect, safety of analgesia regimen among 4 kinds of painless induced abortion. METHODS: 200 women undergoing painless induced abortion were randomly divided into group A, B, C and D, with 50 cases in each group. They were given normal saline+propofol (group A), fentanyl citrate+propofol (group B), dezocine+propofol (group C), flurbiprofen axetil+propofol (group D), respectively. Lab indicator, anesthesia and analgesia effect and ADR were compared among 4 groups after treatment. RESULTS: Perioperative DBP and postoperative HR of group D were higher than those group A, and perioperative SpO2 was higher than group A, B and C, with statistical significance (P<0.05); the propofol dosage of group D and B was significantly less than group A and C, with statistical significance (P<0.05). The recovery time of group D was markedly less than group A, with statistical significance (P<0.05). VAS score of group D was significantly lower than that of group A and C, with statistical significance (P<0.01 or P<0.05). The satisfactory degree of groups was better than group A, with statistical significance (P<0.05); the number of ADR cases in group D was less than other groups, with statistical significance (P<0.05). CONCLUSIONS: Flurbiprofen axetil has significant analgesic effect, which could reduce the dose of propofol, shorten the recovery time, and reduce the incidence of ADR in painless induced abortion, it is a safe and effective anesthesia regimen.