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目的:分析复方萘普生栓联合盐酸利多卡因凝胶在基层医院人工流产术中的效果。方法:101例孕(6～8)周人工流产患者随机分为3组。Ⅰ组采用复方萘普生栓联合盐酸利多卡因凝胶;Ⅱ组用盐酸利多卡因凝胶;Ⅲ组为无麻醉下。观察患者术中镇痛效果,宫颈松弛程度,人工流产综合征(RAAS)及出血量。结果:Ⅰ组,Ⅱ组和Ⅲ组进行比较,无论是术中及术后镇痛效果以Ⅰ组为最佳,Ⅲ组最差,经秩和检验P<0.001。结论:使用复方萘普生栓联合盐酸利多卡因凝胶在基层医院用于人工流产术,可以达到满意的镇痛效果,无副作用,并可预防人流综合征。
Objective: To analyze the effect of compound naproxen suppository and lidocaine hydrochloride gel in induced abortion in primary hospital. Methods: 101 pregnant women (6-8 weeks) induced abortion were randomly divided into three groups. Group Ⅰ was treated with compound naproxen hydrochloride lidocaine hydrochloride gel; Group Ⅱ with lidocaine hydrochloride gel; Group Ⅲ without anesthesia. The analgesic effect, degree of cervical relaxation, induced abortion syndrome (RAAS) and bleeding volume were observed. Results: Compared with group Ⅰ, group Ⅱ and group Ⅲ, group Ⅰ was the best, group Ⅲ was the worst, and the rank sum test was P <0.001, no matter intraoperative or postoperative analgesia. Conclusion: The compound naproxen hydrochloride combined with lidocaine hydrochloride gel used in the primary hospital for artificial abortion, can achieve satisfactory analgesic effect, no side effects, and can prevent the flow syndrome.