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目的探讨利多卡因在人工流产(人流)术中宫颈局部注射可行性及其应用价值。方法收集长桥人民医院门诊诊断宫内早孕320例,要求终止妊娠者,排除手术禁忌证后,随机分成利多卡因宫颈局部注射后人流术(观察组),直接行传统人流术(对照组)。比较两组疼痛程度及其术中人流综合征的发生。结果治疗组160例宫颈软化,易扩张,8例稍感腹胀痛不适,术毕体力迅速恢复,10min后离院。仅1例发生人流综合征。对照组腹痛能忍80例,腹痛难忍80例,85例发生人流综合征,都需休息半小时以上方能离院。两组比较差异有统计学意义(P<0.05)。结论利多卡因宫颈局部注射用于早孕人流术中的减痛具有可行性,有较好的临床疗效,值得推广应用。
Objective To investigate the feasibility and application value of local injection of lidocaine in cervical intrauterine abortion. Methods 320 cases of intrauterine early pregnancy diagnosed by Changqiao People’s Hospital were enrolled in this study. Patients requiring termination of pregnancy and exclusion of contraindications for surgery were randomly divided into two groups: control group (control group), post-injection local injection of lidocaine (observation group) . The degree of pain and the incidence of intraoperative stream syndrome were compared between the two groups. Results 160 cases of treatment group, cervix softening, easy to expand, 8 cases of abdominal discomfort pain, rapid recovery after surgery, 10 minutes after leaving the hospital. Only one patient developed a flow syndrome. The control group can tolerate 80 cases of abdominal pain, 80 patients with abdominal pain, 85 cases of flow syndrome, need to rest for more than half an hour before leaving the hospital. The difference between the two groups was statistically significant (P <0.05). Conclusion Local injection of lidocaine for cervical pain in abortion in early pregnancy is feasible and has good clinical curative effect, so it is worth popularizing and applying.