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目的:评价利多卡因浸润麻醉与宫颈扩张棒联用在人工流产患者中的应用。方法:选取2014年1—6月间收治的早孕(6~10周)自愿要求人工流产患者120例作为研究对象,采用数字随机表将患者分为对照组和观察组,各60例;两组患者术中均给予利多卡因浸润麻醉,对照组患者给予传统金属扩张器扩张宫颈,观察组患者给予一次性宫颈扩张棒扩张宫颈,采用视觉模拟评分(VAS),比较两组患者手术时间、术中出血量、扩张程度以及术后导致人工流产综合症的发生率。结果:观察组患者宫颈扩张的总有效率为96.67%高于对照组为85.00%(P<0.05);人工流产综合征发生率为1.67%低于对照组为11.67%(P<0.05);前者VAS评分值为(1.05±0.63)分低于对照组(P<0.05)。结论:利多卡因浸润麻醉与一次性宫颈扩张棒联用对人工流产患者,能够有效扩张宫颈,减轻术中疼痛感,降低术后人工流产综合征的发生率。
Objective: To evaluate the application of lidocaine infiltration anesthesia and cervical dilation stick in induced abortion patients. Methods: A total of 120 cases of induced abortion (6 ~ 10 weeks) admitted from January to June 2014 were selected as the research objects. The patients were divided into control group and observation group with digital randomized table, 60 cases each. Two groups Patients were given intraoperative infusion of lidocaine anesthesia, the control group of patients with conventional dilatation of the cervical dilatation of the cervix, the observation group were given disposable cervical dilation dilatation of the cervix, using visual analog scale (VAS), the two groups were compared operation time, surgery The amount of bleeding, the extent of expansion and the incidence of postoperative induced abortion syndrome. Results: The total effective rate of cervical dilation was 96.67% in observation group and 85.00% in control group (P <0.05). The incidence of abortion syndrome was 1.67% lower than that of control group (11.67%) (P <0.05) VAS score was (1.05 ± 0.63) points lower than the control group (P <0.05). Conclusion: The combination of lidocaine infiltration anesthesia and disposable cervical dilatation stick can effectively expand the cervix, reduce the intraoperative pain and reduce the incidence of postoperative induced abortion syndrome in induced abortion patients.