米索联合利多卡因用于人工流产术中的临床效果观察.docVIP

精品论文 参考文献 米索联合利多卡因用于人工流产术中的临床效果观察 （江苏省常州市金坛区计划生育指导站 江苏 常州 213200） 【摘要】 目的：探究人工流产术中联合应用米索前列醇、利多卡因的临床价值。方法：随机选择非意愿早期妊娠要求行人工流产患者202例。分为2组，Ⅰ组对照组：用传统的人工流产负压吸引术；Ⅱ组观察组：术前1小时取米索前列醇400mg放置阴道后穹隆，利多卡因4ml宫颈分点注射，1ml宫腔浸润。观察两组的减痛效果、人流综合征发生率、宫口松驰情况及出血量。结果：术前辅助用药的与未用药相比疼痛征状明显减轻，人流综合症发生率减少，仅有个别有轻度恶心现象。结论：米索前列醇联合利多卡因用于人工流产手术，其镇痛、减少宫颈神经兴奋引起的病人不适方面都起到很好的临床效果，值得研究推广。 【关键词】 米索前列醇；利多卡因；人工流产 【中图分???号】R719 【文献标识码】A 【文章编号】2095-1752（2016）31-0015-02 The clinical effect of misoprostol combined with lidocaine in abortion Yu Fenlan. Jintan District Family Planning Guidance Station, Changzhou City, Jiangsu Province, Changzhou 213200, China 【Abstract】Objective To explore the abortion combined with misoprostol, clinical value of lidocaine. Methods The random selection of unwanted early pregnancy requires 202 cases of artificial abortion. Divided into two groups, control groups: conventional vacuum aspiration abortion; II group observation group: one hour before surgery takes place 400mg misoprostol vaginal vault, cervical lidocaine 4ml points injection, 1ml uterine infiltration. The two groups were observed pain reduction effect of the incidence of abortion syndrome, cervix relaxation conditions and the amount of bleeding. Results The preoperative adjuvant treatment compared with untreated pain symptoms significantly reduced, reducing the incidence of abortion syndrome, mild nausea only individual phenomenon. Conclusion Misoprostol combined with lidocaine in induced abortion surgery, the patient does not apply to aspects of their pain, reduce nervous excitement caused by cervical have played good clinical results, worthy of research and promotion. 【Key words】Misoprostol; Lidocaine; Abortion 1.资料与方法 1.1 病例选择 随机选择2009～2014年来我站要求人流手术202例妇女，年龄为21～35岁之间，平均年龄31.18岁，孕产次2～5次，平均3.35次，孕周5～10周，随机分2组，每组101例。所有患者无任何其他疾病、用药禁忌症及药物过敏反应。按人流手术常规体检正常，以上各组数据统计分析无显著差异。 1.2 方法 术前米索前列醇400mg沾水湿润放置阴道后穹隆，等1小时后再行人工流产术，取1%利多卡因5ml宫颈12、3、6、9四点注射4ml