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目的观察尼尔雌醇配伍利多卡因对绝经后妇女取IUD术的宫颈软化扩张作用及取器效果。方法对98例绝经后取器的妇女分为两组:观察组52例,顿服尼尔雌醇片5mg。于服药第八天来院行取环术,术前用2%利多卡因行宫颈局部麻醉;对照组46例,术前用阿托品宫颈局部麻醉。结果观察组宫颈软化及宫口扩张情况明显优于对照组,P<0.01;术中综合反应程度观察组低于对照组,P<0.05;取器成功率观察组高于对照组,差异显著,P<0.05。结论尼尔雌醇配伍利多卡因用于绝经后妇女取器可减少患者痛苦,取器成功率高,不失为基层医院值得推广的一种方法。
Objective To observe the effects of nylositol and lidocaine on cervix softening and dilatation of IUD in postmenopausal women. Methods 98 cases of postmenopausal women were divided into two groups: observation group of 52 cases, Dayton clothes nylestriol tablets 5mg. On the eighth day after taking the medicine, the patients underwent local anesthesia with cervical lidocaine 2% lidocaine. The control group received local anesthesia with atropine cervical preoperatively. Results The observation group was significantly better than the control group in cervix softening and cervix dilatation (P <0.01); the intraoperative comprehensive response was lower in the observation group than in the control group (P <0.05); the successful rate of the observation group was significantly higher than that of the control group P <0.05. Conclusion The combination of nilestriol and lidocaine for postmenopausal women can reduce the pain of patients, and the success rate of the device is high, which is worthy of promotion as a primary hospital.