利多卡因宫旁阻滞联合宫腔灌注在人流术中镇痛的初步观察.pdfVIP

WESTCHINA MEDICALJOURNAL2008，Vo1．23，No．1 CN 51—1356／R [文章编号]1002—0179(2008)01—0036—02 利多卡因宫旁阻滞联合宫腔灌注在人流 ParaeerviealBlockCombinedwitllIntrauterineCavityPerfusionwithLidocaineonPainReliefduring 术中镇痛的初步观察 SuctionEvacuationforEarlyPregnancyTermination 李飞浪，傅红春2，陈万清，李娜 LIFei—lang，FU Hong—chun，CHENWan—qing，eta1． (1．广安‘市人民医院妇产科，四川广安 638500；2．成都市第六人民医院，四川成都 610051) (1．C,yrvecologicalDepartment，thePeople’HospitalofQm凡g—anCity，Guang—an638500，China) 摘要：目的：观察利多卡因宫旁阻滞联合宫腔灌注在人流术中镇痛的效果。方法 ：收集我院2005年 1—2月 门诊终止妊娠的早孕妇女共 94例并分为两组：单纯宫旁阻滞组 (简称单纯组)35例，宫旁阻滞联合宫腔灌注 (简称联合组)59例。比较两种利多卡因局麻方式的效果。结果：(1)两组的止痛效果无明显差异 (P：0．893)； (2)联合组对宫颈的松弛作用优于宫旁阻滞 (P=0．000)；(3)联合组较多病例出现眩晕、耳鸣等副反应。结论： 与单纯宫旁阻滞相比，宫旁阻滞联合宫腔灌注并无明显优势。 关键词：利多卡因；早孕；止痛；宫旁阻滞；宫腔灌注 [中图分类号]R714．3 [文献标志码]A Abstract：Objective：Tocomparetheinfluenceofparacervicalblock (PcBJorPCBcombinedwithintrauterinein_fusion (1I)withlidocaineonpainreliefduringsuctionevacuationforeralypregnancytermination．Methods：Ninty—fourcasesofearly pregnantwomenwhowanttohavesuctionevacuationofrpregnancyterminationwerestudiedfrom JanuarytoFebruaryin2005in theoutpatientdepartmentinourhospita1．TheywereassingedtothegroupofPCB (35cases)andthecomb inedgroup (59cas- es1_hteoutcomeofthesetwohdoCainelocalnaaesthesiawascompraed．Results：PCBcombinedwithⅡiSbetterthanPCBonly forhtecervicalrelaxa工jon (P=0．000)Therewerenosignificantdifferenceofpainreliefnadinducedabortionsyndromebetween htewtogroups．Conclusion：PCBcombinedwithIIhadnoobviousadvantagetIlanPCBonlyduringsuctionevacuationofreraly pregnancytermination． Keywords：lidocaine；earlypregnancy；painrelief；intrauterineinlusion；praaeervica[block (Receiveddate：2006—11—27) 利多卡因是人流时应用较多的局部