摘要
目的探讨米索前列醇+利多卡因注射宫颈局部麻醉在人工流产术中的镇痛效果。方法采用回顾性分析方法,选取首都医科大学全科医学系德胜社区卫生服务中心2010年1月～2012年6月,孕6～10周行人工流产的患者184例。其中92例术前1 h口服米索前列醇400μg,术中运用利多卡因宫颈注射为联合组,92例采用传统人工流产方法为对照组,对比2组在手术中镇痛效果,手术时间、出血量及人流综合征的发生率等方面有无差异。结果联合组镇痛总有效率为92.4%,明显高于对照组的33.7%,2组相比较差异有统计学意义(P<0.05)。人工流产综合征的发生率,联合组低于对照组,差异有统计学意义(P<0.01)。手术时间及出血量相比差异无统计学意义(P>0.05)。结论米索前列醇联合利多卡因宫颈注射用于人工流产镇痛效果显著。无需特殊监测设备,适于社区基层医院运用。
Objective To investigate the analgesic effect of misoprostol plus lidocaine injection cervical local anesthesia in induced abortion. Methods A retrospective analysis was used. A hundred and eight-four patients with 6 - 10 week gestation, during January 2010 to June 2012, were enrolled into two groups. The combined group, 92 patients, was given 400 μg misoprostol orally for one hour preoperative, followed by lidocaine cervical injection intraoperative. The control group, 92 patients, was used traditional abortion method. The difference of postoperative analgesic effect, operative time, amount of bleeding and Incidence Abortion Syndrome between the two groups were observed. Results The total analgesic effective rate of the combined group and the control group were 92.4% and 33.7% , respectively. The difference was statistically significant between the two groups （P〈0.05）. The incidence rate of Incidence Abortion Syndrome was higher significantly in combined group compared with that in the control group（ P〈0.01 ） ; however, the operation time and the amount of bleeding had no significant difference between the two groups, respectively（P〉0.05 ）. Conclusion The method of cervical misoprostol combined with lidocaine injection for abortion analgesic had significant effect. It might be suitable for Community Hospitals without special monitoring equipments.
出处
《首都医科大学学报》
CAS
2013年第2期305-307,共3页
Journal of Capital Medical University
