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目的:观察卡前列酸和双氯芬酸钠栓联合运用于人工流产术中的镇痛效果。方法:随机选取2015年1月至2016年6月来东莞市寮步医院妇科要求终止妊娠的妇女540例作为研究对象,按照随机原则分为观察组和对照组,各270例,其中观察组在术前1 h内接受阴道消毒后,将1 mg的卡前列酸置于阴道后穹窿部位,及双氯化灭痛栓50 mg置于直肠内联合给药。对照组在术前采用盐酸利多卡因注射液,宫颈局部注射(3,9点钟方向),每处2 m L。观察两组的宫口扩张、软化程度、阴道出血和患者的疼痛状况。结果:观察组联合使用卡前列酸和双氯芬酸钠栓实行人工流产手术和对照组比较,疼痛明显减轻,且宫颈明显松弛,出血量减少,各项观察指标比较,差异均具有统计学意义(P<0.05)。结论:人工流产术前联合使用卡前列酸和双氯芬酸钠栓可以有效松弛宫颈、有效缓解手术疼痛并且降低术中出血量。
OBJECTIVE: To observe the analgesic effect of card prothrombin and diclofenac sodium suppository in combination with artificial abortion. Methods: From January 2015 to June 2016, 540 gynecologists requesting termination of pregnancy in Liaobu Hospital of Dongguan City were randomly selected as study subjects, and randomly divided into observation group and control group with 270 cases in each group. The observation group included After vaginal disinfection within 1 h before surgery, 1 mg of card prepro acid was placed in the vaginal fornix site, and 50 mg of DDT was administered in the rectum. In the control group, lidocaine hydrochloride injection was administered preoperatively, and the cervix was injected locally (3,9 o’clock direction) at 2 mL each. The cervix was observed for dilatation, degree of softening, vaginal bleeding and the patient’s pain condition. Results: Compared with the control group, cardiopulmonary arrest and diclofenac sodium suppository were observed in the observation group. Compared with the control group, the pain was relieved and the cervix was obviously loosened and the amount of bleeding was reduced. There were significant differences among the observation indexes (P < 0.05). Conclusions: Preoperative abortion with card top acid and diclofenac sodium suppository can effectively relax the cervix, effectively relieve the surgical pain and reduce the amount of intraoperative bleeding.