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目的减轻人工流产时痛苦,预防人工流产并发症的发生.方法选择自愿终止妊娠的早孕妇女258例,随机分为A、B、C三组.A组术前宫颈3、9点处分别注入碳酸利多卡因3ml;B组同法注入盐酸利多卡因3ml.A、B两组术前1小时均口服米索前列醇400mg.C组人工流产术常规操作.观察术中、术后反应,结果A组镇痛及宫颈松驰情况效果最好.与B、C组比较差异显著,有统计学意义(P<0.01).人工流产综合征(PAAS)发生率以A组最低.结论宫颈注射碳酸利多卡因配合米索前列醇用于人工流产镇痛效果最佳,能有效减轻孕妇人工流产时的痛苦,预防人工流产综合征的发生.
Objective To reduce the pain of induced abortion and prevent the occurrence of complications of induced abortion.Methods 258 pregnant women who voluntarily terminate pregnancy were randomly divided into three groups A, B and C. A group was injected with carbonic acid Lidocaine 3ml; B group with the same method of injection of lidocaine hydrochloride 3ml.A, B two hours before surgery are oral misoprostol 400mg.C group of conventional abortion operation.Observation of intraoperative and postoperative response, the results A group of analgesic and cervical relaxation best, compared with the B, C group, the difference was statistically significant (P <0.01) .The incidence of artificial abortion syndrome (PAAS) was the lowest in group A. Conclusions The cervical injection of carbonic acid Lidocaine with misoprostol for the best analgesic effect of induced abortion, can effectively reduce the pain of pregnant women during induced abortion and prevent the occurrence of induced abortion syndrome.