局部麻醉及静脉麻醉在人工流产术中的临床镇痛效果比较(1)
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[摘要] 目的:探讨利多卡因局部麻醉与丙泊酚静脉麻醉用于人工流产术中的临床镇痛效果观察。方法:将自愿要求人工流产的孕妇300例随机分为三组,丙泊酚静脉麻醉组、利多卡因宫颈局部麻醉组、对照组(不采取任何措施行常规人工流产术)。结果:丙泊酚静脉麻醉组和利多卡因宫颈局部麻醉组镇痛有效率明显高于对照组(P<0.01),人工流产综合征等不良反应发生率低于对照组(P<0.05), 且不影响手术时间及术中出血(P>0.05)。利多卡因宫颈局部麻醉组镇痛总有效率低于丙泊酚静脉麻醉组(P<0.05)。结论:利多卡因局部麻醉与丙泊酚静脉麻醉在人工流产中可以满足不同层次育龄妇女的需求。
[关键词] 局部麻醉;静脉麻醉;人工流产;镇痛效果
[中图分类号]R719 [文献标识码]B [文章编号]1673-7210(2010)05(c)-060-02
The comparison of the clinical analgesic effects on induced abortion between local anesthesia and intravenous anesthesia
XI Xuxia
(Department of Obstetrics and Gynecology, the First People's Hospital of Wuhu City, Anhui Province, Wuhu 241000, China)
[Abstract] Objective: To observe the clinical analgesic effects of Lidocaine local anesthesia and intravenous Propofol anesthesia on induced abortion. Methods: The 300 pregnant women voluntary for abortion were divided into 3 groups randomly, intravenous anesthesia Propofol group, cervical local anesthetic Lidocaine group, the control group who did not take any measures to conduct conventional artificial abortion. Results: The effects of Propofol intravenous anesthesia and cervical lidocaine local anesthesia groups were significantly higher than that of the control group (P<0.01), the incidence of adverse reactions, such as the artificial abortion syndrome, was lower than that of the control group (P<0.05), the operative time and intraoperative hemorrhage were not affected (P>0.05). The effect of the cervical local anesthetic Lidocaine group was lower than the intravenous anesthesia Propofol group (P<0.05). Conclusion: Lidocaine local anesthesia and intravenous Propofol anesthesia can meet the needs of childbearing-age women in different levels in induced abortion.
[Key words] Local anesthesia; Intravenous anesthesia; Abortion; Analgesic effect
人工流产是避孕失败或母儿有不宜继续妊娠疾病的一项补救措施。特别对于初孕妇,由于宫口紧,精神紧张,在无镇痛状态下,导致人工流产手术操作困难,患者痛苦大。随着人们对生活质量及医疗条件要求的提高, 患者对医疗质量提出更高的要求,为了提高手术质量,减少受术者的痛苦及手术并发症的发生,我院对门诊人工流产妇女用利多卡因局部麻醉和丙泊酚静脉麻醉镇痛,效果良好,现将结果报道如下:
1 资料与方法
1.1 一般资料
选择2006年12月～2008年8月在我院门诊自愿要求人工流产的孕妇300例, 所有对象均为健康未产妇或有剖宫产史的妊娠妇女,年龄18～42岁,停经6～10周, 体重40～65 kg,B超提示宫内妊娠 ......
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