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目的观察利多卡因联合米索前列醇用于减痛人流的临床效果。方法选择我院门诊2010年5月至2011年5月自愿行人工流产患者200例,随机分为两组.A组为利多卡因联合米索前列醇组,B组为单独应用米索前列醇组。结果 A组显效80例,B组55例;A组有效20例,B组40例:A无效0例B组10例。两组统计学上差异有统计学意义(P<0.05)。A组出血过多5例,B组出血过多为4例,A组的手术时间5～10minB组的手术时间4～10min,两组统计学上差异无统计学意义(P>0.05)。两组均未出现严重的不良反应。结论利多卡因联合米索前列醇用于减痛人流术,具有扩张宫颈,便于手术操作,缩短手术时间,减少患者痛苦,增加手术安全性,减少麻醉危险性的优点。
Objective To observe the clinical effect of lidocaine combined with misoprostol in reducing painful flow. Methods 200 cases of induced abortion in our hospital from May 2010 to May 2011 were randomly divided into two groups: group A was treated with lidocaine plus misoprostol, while group B was treated with misoprostol alone group. Results A group of 80 cases markedly effective, B group 55 cases; A group of 20 cases effective, B group 40 cases: A invalid 0 cases B group of 10 cases. The difference between the two groups was statistically significant (P <0.05). There were 5 cases of excessive bleeding in group A, 4 cases of excessive bleeding in group B, and 4 to 10 minutes in group A with operation time of 5 to 10 minutes. There was no significant difference between the two groups (P> 0.05). No serious adverse reactions occurred in both groups. Conclusion lidocaine combined with misoprostol for pain reduction abortion, with the expansion of the cervix, facilitate surgical operations, shorten the operation time, reduce patient pain, increase surgical safety, reduce the risk of anesthesia advantages.