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目的观察利多卡因宫旁神经阻滞麻醉用于无痛人工流产术的临床效果。方法将106例自愿终止妊娠的早孕妇女分为2组,A组56例,行利多卡因宫颈旁神经阻滞,5min后开始手术;B组50例行常规人工流产手术。观察2组镇痛效果、术中出血量及宫颈松弛情况。结果 A组无痛率和轻痛率分别为64.3%、35.7%,B组分别为0、10.0%,2组比较差异有统计学意义(P均<0.01)。2组无阻力扩宫率分别为89.3%及4.0%,2组比较差异有统计学意义(P<0.01)。2组术中出血量相当。结论利多卡因宫旁神经阻滞麻醉用于无痛人工流产术效果满意,副作用小。
Objective To observe the clinical effect of lidocaine paraviliary nerve block anesthesia for painless artificial abortion. Methods 106 pregnant women with voluntary termination of pregnancy were divided into two groups. 56 cases in group A received lidocaine parathyroidectomy 5 minutes later, and 50 cases in group B received routine abortion. The analgesic effect, intraoperative blood loss and cervical relaxation were observed in two groups. Results The painless rate and mild pain rate in group A were 64.3% and 35.7% respectively, while those in group B were 0 and 10.0% respectively. There was significant difference between the two groups (all P <0.01). There was no significant difference between the two groups (89.3% and 4.0%, respectively), and the difference between the two groups was statistically significant (P <0.01). The amount of blood loss in the two groups was comparable. Conclusion Lidocaine for paraquital nerve block anesthesia for painless artificial abortion satisfactory results, side effects.