利多卡因联合米索前列醇用于疤痕子宫人流术临床疗效剖析.docVIP

利多卡因联合米索前列醇用于疤痕子宫人流术临床疗效剖析 　　[摘要] 目的 探讨和分析利多卡因联合米索前列醇应用在疤痕子宫且合并早期妊娠反应的人工流产手术之中的临床效果。 方法 整群选取该院自2015年1―7月收治的需进行人工流产患者共计170例，按随机原则划为实验组和对照组各85例。对于对照组患者，手术前在阴道部位未置药物，在手术中仅于宫颈处注入利多卡因，对于实验组患者，在人工流产手术之前于阴道后面穹窿部位放入米索前列醇，手术结束后，即对比两组患者的麻醉效果和宫颈扩张效果。结果 经过治疗，实验组镇痛总有效率为100%，明显高于对照组患者（58.9%，50/85）；实验组患者宫颈扩张的满意率为100%，也明显高于对照组（23.5%，20/85），两组患者的宫颈扩张满意率对比，差异有统计学意义（χ2=24.092，P0.01）。 结论 对于疤痕子宫人流术患者，通过利多卡因联合米索前列醇，能够提高麻醉效果，提高手术安全性，并减轻病人的痛苦，值得临床推广。 　　[关键词] 利多卡因；疤痕子宫；米索前列醇；人流术 　　[中图分类号] R713 [文献标识码] A [文章编号] 1674-0742（2015）12（c）-0102-02 　　Clinical Curative Effect Analysis of Lidocaine Combined with Misoprostol in the Uterine Scar Artificial Abortion Operation 　　HE Li， TANG Yan-ping 　　Obstetrics and Gynecology Department， Luxi Maternal and child health care， Pingxiang， Jiangxi Province， 337200 China 　　[Abstract] Objective To discuss and analyze the clinical effect of lidocaine combined with misoprostol in the artificial abortion operation of uterine scar complicated by early pregnancy reaction. Methods 170 cases of patients with artificial abortion treated in our hospital from January 2015 to July 2015 were selected and randomly divided into two groups with 85 cases in each， for the control group， no drugs were placed in the vaginal part before operation and lidocaine was only injected into the cervix during operation； for the experimental group， misoprostol was placed in the fornix part at the back of the vagina before operation， after finishing the operation， the anesthetic effect and cervical dilation effect of the two groups were compared. Results After treatment， the total effective rate of analgesia in the experimental group was obviously higher than that in the control group， （100% vs 58.9%，50/85）， the satisfactory rate of cervical dilation in the experimental group was obviously higher than that in the control group （100% vs 23.5%，20/85）， and the difference in the satisfactory rate of cervical dilation between the two groups was obvious with statistical significance（χ2=24.0