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目的:探讨碳酸利多卡因、阿托品联合双氯芬酸钠栓用于人工流产术的临床价值。方法:采用随机分组法将该院2010年6月～2011年5月要求人工流产术的无手术禁忌证的健康妊娠妇女分为A、B两组。A组(观察组):术前20 min直肠放置双氯芬酸钠栓50 mg,1.73%碳酸利多卡因4 ml和阿托品0.5 mg宫颈旁注射,1～3 min后手术操作。B组(对照组):采用分散注意力的心理安慰疗法,手术按常规进行,比较两组临床效果。结果:A组(观察组)镇痛、宫颈扩张效果明显优于B组,人工流产综合征发生率显著低于B组。结论:碳酸利多卡因、阿托品联合双氯芬酸钠栓用于人工流产术是安全、有效、简便的方法,值得推广应用。
Objective: To investigate the clinical value of lidocaine and atropine combined with diclofenac sodium suppository for artificial abortion. Methods: A randomized grouping method was used to divide healthy pregnant women without surgical contraindications requiring abortion from June 2010 to May 2011 in the hospital. Group A (observation group): Diclofenac sodium suppository 50 mg, 1.73% lidocaine 4 ml, and atropine 0.5 mg were injected into the cervix 20 min before operation, and the operation was performed after 1 to 3 min. Group B (control group): Using distracting psychological comfort therapy, the operation was performed routinely, and the clinical effect was compared between the two groups. Results: Analgesia and cervical dilatation in group A (observation group) was better than that in group B, and the incidence of induced abortion syndrome was significantly lower than that in group B. Conclusion: Lidocaine, atropine combined with diclofenac sodium suppository for artificial abortion is a safe, effective and simple method, which is worth popularizing and applying.