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目的:探讨米索前列醇阴道用药联合利多卡因宫颈注射用于负压吸宫术的临床效果。方法:将200例自愿行负压吸宫术的孕妇随机分为A组(米索前列醇阴道用药联合利多卡因宫颈注射),B组(米索前列醇阴道用药),C组(利多卡因宫颈注射),D组(常规负压吸宫术),每组50例。对4组镇痛效果、扩宫情况、人工流产综合征(RAAS)情况进行比较。结果:4组镇痛、扩宫效果、RAAS发生率有显著性差异(P<0.05),A组镇痛和宫颈扩张效果最佳。结论:米索前列醇阴道用药联合利多卡因宫颈注射用于负压吸宫术,镇痛效果及宫颈松弛良好,副反应少且操作简单安全,值得临床推广使用。
Objective: To investigate the clinical effect of vaginal misoprostol combined with lidocaine for cervical intrauterine injection of vacuum aspiration. Methods: A total of 200 pregnant volunteers undergoing negative pressure aspiration were randomly divided into group A (vaginal misoprostol plus lidocaine injection), group B (vaginal misoprostol), group C (lidocaine Due to cervical injection), D group (conventional vacuum aspiration), each group of 50 cases. The analgesic effects of 4 groups, the situation of dilation and the situation of artificial abortion syndrome (RAAS) were compared. Results: There were significant differences in the analgesic and dilatation effects between the four groups (P <0.05). The analgesia and cervical dilatation in group A were the best. Conclusion: Misoprostol vaginal injection combined lidocaine cervical injection for vacuum aspiration, analgesic effect and cervical relaxation is good, less side effects and simple and safe, it is worth promoting the use of the clinic.