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目的探讨小剂量卡前列甲酯栓配合利多卡因宫旁阻滞麻醉在人工流产术中的应用效果。方法选取萍乡市第二人民医院2014年1月—2015年10月接收的300例自愿人工流产孕妇,随机分为观察组、对照组1和对照组2,各100例。观察组采用卡前列甲酯栓配合利多卡因宫旁阻滞麻醉;对照组1采用利多卡因双途径局麻;对照组2采用利多卡因宫腔黏膜表面麻醉。比较3组镇痛效果、手术时间、出血量。结果观察组扩宫效果、术中镇痛效果优于对照组1、2,人工流产综合征发生程度轻于对照组1、对照组2,手术时间短于对照组1、对照组2,术中出血量少于对照组1、对照组2,差异有统计学意义(P<0.05)。结论小剂量卡前列甲酯栓配合利多卡因宫旁阻滞麻醉应用在人工流产术中能有效缓解术中疼痛,松弛宫颈,方便手术操作,缩短手术时间,减少出血,两种药物价格低,临床应用安全有效。
Objective To investigate the effect of low-dose card top methyl ester suppository combined with lidocaine anesthesia in induced abortion. Methods 300 cases of voluntary induced abortion pregnant women received from Pingxiang Second People’s Hospital from January 2014 to October 2015 were randomly divided into observation group, control group 1 and control group 2, each with 100 cases. The observation group was treated with cardioprotection with methylprednisolone plus lidocaine for uterine blockade; control group 1 was given lidocaine by two-way local anesthesia; and control group 2 was treated with lidocaine by topical anesthesia. Compare the analgesic effect of the three groups, operation time, bleeding volume. Results The observation group dilatation effect, intraoperative analgesia better than the control group 1, 2, the incidence of induced abortion syndrome is lighter than the control group 1, the control group 2, the operation time is shorter than the control group 1, control group 2, intraoperative The amount of bleeding less than the control group 1, control group 2, the difference was statistically significant (P <0.05). Conclusions The application of low-dose card forelimb thiazoles combined with lidocaine blockade anesthesia in the abortion can effectively relieve intraoperative pain, relax the cervix, facilitate the operation, shorten the operation time and reduce the bleeding, the two drugs are low in price, Clinical application of safe and effective.