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目的探讨尼尔雌醇联合盐酸利多卡因用于绝经后妇女取环的有效应、无痛性、宫颈软化情况及不良反应。方法将绝经后预行取IUD的妇女90例随机分为两组。实验组45例,取器术前7d口服尼尔雌片4mg顿服,1周后来本院妇产科门诊手术取环,术中按常规操作,于宫颈外口边缘3、9点钟处距宫颈口边缘1mm,分别各注射2%盐酸利多卡因注射液2mL,5min后取器;对照组45例,术前1周单用同剂量的尼尔雌片率,成功率。实验组分别为80.00%、77.80%、95.56%,对照组分别为35.56%、11.10%、57.78%,差异具有显著性(P<0.01)。结论尼尔雌醇联合盐酸利多卡因用于绝经后妇女取IUD,可以达到进一步的软化宫颈、减轻疼痛、出血少、时间短、取器成功率高、不良反应少的优点。还能减少老年性阴道疾病发生,是一种较安全有效的方法,值得临床推广应用。
Objective To investigate the effective, painless, cervical softening and adverse reactions of nylestriol combined with lidocaine hydrochloride in the postmenopausal women. Methods Ninety women with postmenopausal IUD were randomly divided into two groups. 45 cases of experimental group, preoperative 7d oral administration of naloxemic tablets 4mg Dayton, one week later to Obstetrics and Gynecology clinic surgery to take the ring, according to conventional operation, at the edge of the cervix 3,9 o’clock Cervical mouth edge 1mm, respectively, 2% injection of lidocaine hydrochloride injection 2mL, 5min after the take; control group of 45 patients, the same dose of the same dose of 1 week before surgery, the success rate. The experimental group was 80.00%, 77.80% and 95.56% respectively, while the control group was 35.56%, 11.10% and 57.78% respectively. The difference was significant (P <0.01). Conclusion The combination of nylestriol and lidocaine hydrochloride for IUD in postmenopausal women can achieve the further advantage of softening the cervix, reducing pain, less bleeding, short time, high success rate of the device, and fewer adverse reactions. But also reduce the incidence of senile vaginal diseases, is a safer and more effective method, worthy of clinical application.