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目的探讨倍美力配伍米索前列醇联合利多卡因与单纯应用倍美力配伍米索前列醇对绝经后女性取环的临床效果。方法 2005年1月-2009年12月对60例外院转入的绝经期取环困难女性随机分为两组进行临床观察和对照分析。观察组40例,术前1周口服倍美力0.625mg/d,连服7d,取器前1h口服米索前列醇200mg,术时以2%利多卡因分别在宫颈3、9点处注射。对照组仅以同法给予倍美力、米索前列醇口服后施术。结果观察组宫颈软化及取器顺利率显著优于对照组,迷走神经反射症发生率低于对照组。结论应用倍美力配伍米索前列醇、术前利多卡因局部注射实施困难取环,操作简便、痛苦小、效果好,值得临床推广。
Objective To investigate the clinical efficacy of bemeibi with misoprostol combined with lidocaine and bemei with misoprostol in the treatment of postmenopausal women. METHODS: From January 2005 to December 2009, 60 women with dysmenorrhea who were transferred from the hospital were randomly divided into two groups. Clinical observation and comparative analysis were performed. Observation group of 40 cases, 1 week before surgery oral times the power of 0.625mg / d, and even served 7d, before taking the device 1h oral misoprostol 200mg, 2% lidocaine were injected at 3,9 points in the cervix . The control group was given only twice the same law, misoprostol administered orally. Results In the observation group, cervical softening and smoothing of the device were significantly better than those in the control group. The incidence of vagal reflex was lower than that of the control group. Conclusion The application of metoprolol and misoprostol, preoperative local injection of lidocaine difficult to take the ring, easy to operate, little pain, the effect is worthy of clinical promotion.