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目的 比较曲马多及利多卡因单独及联合应用时对人工流产者的宫颈松弛度和镇痛效果。方法 选择 42 0例孕 10周以内的妇女 ,随机分为 4组A、B组术前肌注曲马多 10 0mg ,A、C组术中加 2 %利多卡因 5ml宫颈注射 ,D组为对照组 ,不用药。结果 A组扩宫镇痛、宫颈松弛度、吸宫镇痛、术后疼痛缓解度与对照组相比均有显著性差异。B组吸宫镇痛及术后疼痛缓解度好于对照组 ,余无差异。C组扩宫镇痛及宫颈松弛度优于对照组 ,对吸宫镇痛及术后疼痛缓解也有一定作用。 4组在血压、脉搏、呼吸、出血、子宫收缩幅度等方面比较无显著性差异。结论 曲马多加利多卡因用于人工流产效果肯定 ,安全可行。
Objective To compare the effects of tramadol and lidocaine on cervical relaxation and analgesia of induced abortion when used alone or in combination. Methods 42 0 pregnant women within 10 weeks of pregnancy were randomly divided into four groups A, B preoperative intramuscular injection of tramadol 10 0mg, A, C group plus 2% lidocaine 5ml cervical injection, D group Control group, do not medication. Results A group of Palace expansion pain, cervical relaxation, suction palace pain, postoperative pain relief compared with the control group were significantly different. B group Palace pain and postoperative pain relief better than the control group, I no difference. C group expansion palace pain and cervical relaxation is superior to the control group, the palace pain and postoperative pain relief also have a role. There were no significant differences in blood pressure, pulse, respiration, hemorrhage, uterine contractility between the 4 groups. Conclusion Tramadol plus lidocaine for the effect of induced abortion affirmed, safe and feasible.