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近年来,我们将利多卡因注射剂用于妊娠6～12周人工流产术中镇痛,取得良好效果,现报道如下。 1.临床资料 选自门诊人工流产的早孕妇女238例。利多卡因组123例,对照组115例,两组孕妇年龄、孕次、孕周均为随机抽样,无显著差异。观察项目包括孕妇手术中有无痛苦表情、孕妇对疼痛程度的主观感觉、出血量、术前术后探宫腔深度、术后病人呼吸、脉搏、血压及用药之毒性反应。 方法:受术者取膀胱截石位,常规消毒后,钳夹宫颈前唇,取2％利多卡因2～4ml将无菌长棉签(长约16cm)浸湿后插入宫颈管,将棉签留置1～3min后取出,再常规手术。对照组不用任何药物镇痛,按传统方法手术。用药前及术后10min测血压、呼吸、脉搏。
In recent years, we will lidocaine injection for artificial abortion in 6 to 12 weeks gestation analgesia, and achieved good results, are reported below. 1. Clinical data of 238 pregnant women selected from outpatient induced abortion. There were 123 cases in lidocaine group and 115 cases in control group. There was no significant difference in age, pregnancy time and gestational age between the two groups. The observation items included painful expression in pregnant women ’s surgery, subjective feelings of pregnant women on the degree of pain, amount of bleeding, depth of uterine cavity before surgery, postoperative respiratory, pulse, blood pressure and medication toxicity. Methods: The patients were taken lithotomy position, routine disinfection, clamp the anterior cervical lip, take 2% lidocaine 2 ~ 4ml sterile cotton swab (length 16cm) into the cervical canal after soaking, the cotton swab 1 ~ 3min after removal, and then conventional surgery. Control group without any drug analgesia, according to the traditional method of surgery. Before treatment and after 10min measured blood pressure, respiration, pulse.