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目的探讨利多卡因加阿托品宫颈注射联合口服舒乐安定在人工流产术中的镇痛效果。方法将6～9周要求人工流产的252例孕妇随机分为A组(94例)、B组(106例)、C组(52例)。A、B组为镇痛组,C组为对照组。A组用2%盐酸利多卡因5ml加阿托品0.5mg(1ml)混合液,分别在宫颈3及9点处各注射3ml,3～5min后施术。B组于术前服用舒乐安定片2mg,服药后30min采用上述相同方式宫颈注射利多卡因加阿托品混合液,注药后3～5min施术。C组常规施行人工流产术。观察3组术中宫颈松弛扩张情况、镇痛效果、人工流产综合征反应。结果B组既不增加出血量,宫颈松弛扩张程度、镇痛效果、人工流产综合征反应均优于A组和C组。结论舒乐安定具有自动扩宫作用,镇痛效果迅速,联合利多卡因、阿托品用于人工流产术是一种安全可靠、镇痛满意的方法,术中不需要麻醉专科医师,适合于基层医院推广应用。
Objective To investigate the analgesic effect of cervical injection of lidocaine plus atropine combined with oral zlezepam in induced abortion. Methods 252 pregnant women who required artificial abortion from 6 to 9 weeks were randomly divided into group A (n = 94), group B (n = 106) and group C (n = 52). A, B group for the analgesic group, C group for the control group. A group with lidocaine 2ml 5ml plus atropine 0.5mg (1ml) mixture, respectively, at 3 and 9 points in the cervix 3ml, 3 ~ 5min after surgery. B group before taking preoperative leleptin tablets 2mg, 30min after taking the same way above the cervical injection of lidocaine plus atropine mixture, 3 ~ 5min after injection of surgery. C group routine implementation of induced abortion. Three groups of intraoperative cervical relaxation and expansion, analgesic effect, induced abortion syndrome. Results In group B, the amount of bleeding, cervical relaxation and relaxation, analgesic effect and induced abortion syndrome were all better than those in group A and group C. Conclusion Shuilean stability with automatic expansion of the palace, the analgesic effect is rapid, combined lidocaine, atropine for abortion is a safe and reliable, satisfactory analgesic, anesthesiologists do not need surgery, suitable for primary hospital Promote the application.