吲哚美辛栓与宫颈阻滞麻醉在人工流产术中对比性研究

• 作 者: 牛玉梅
• 机 构: 河北省唐山市丰润区人民医院妇产科,
• 出 处: 中国妇幼保健
• 发表日期: 2010年34期
• 关键词: 流产术 吲哚美辛 阻滞麻醉 宫颈管 人工流产综合征 宫颈松弛度 术中镇痛效果 多卡因 吸宫术 宫颈扩张

目的:观察吲哚美辛栓及宫颈阻滞麻醉在人工流产术中对镇痛及宫颈软化扩张的作用。方法:将122例接受人工流产术的早孕妇女随机分为3组,在常规人工流产吸宫术前,吲哚美辛栓组(44例)肛入吲哚美辛栓1枚、宫颈阻滞麻醉组(38例)于宫颈4、8、10点分别注射2%利多卡因2 m l、对照组(40例)不做任何干预,观察宫颈松弛度、术中镇痛程度、出血量、手术时间、血压心率及人工流产综合征的发生情况。结果:宫颈管松弛满意度吲哚美辛栓组>宫颈阻滞麻醉组>对照组,术中镇痛效果吲哚美辛栓组与宫颈阻滞麻醉组差异无统计学意义(P>0.05)均优于对照组,手术时间吲哚美辛栓组<宫颈阻滞麻醉组<对照组。结论:吲哚美辛栓与宫颈阻滞麻醉在人工流产术中对宫颈扩张以及镇痛均有良好作用,两者相比吲哚美辛栓在松弛宫颈作用上显示优势,可缩短手术时间。 Objective: To observe the effect of indometacin suppository and cervical block anesthesia on analgesia and cervical softening and expansion in artificial abortion. Methods: A total of 122 early pregnancy women undergoing abortion were randomly divided into three groups. Before the conventional abortion aspiration, one indomethacin suppository was administered indomethacin suppository group (44 cases), cervical block In the anesthesia group (38 cases), 2 ml lidocaine 2 ml was injected into the cervix at 4, 8 and 10 points, respectively. The control group (40 cases) received no intervention. The cervical relaxation, intraoperative analgesia, blood loss, Time, blood pressure and heart rate and the incidence of induced abortion syndrome. Results: Indomethacin suppository satisfaction> indomethacin suppository group> cervical arrest anesthesia control group> control group, intraoperative analgesia effect indomethacin suppository group and cervical block anesthesia group had no significant difference (P> 0.05) Both were better than the control group, indomethacin group operation time