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目的:观察米索前列醇、利多卡因及安定在人工流产术中的镇痛效果。方法:将240例已知受孕要求终止妊娠者随机分成三组,米索前列醇(米索组)术前30 m in舌下含服200μg米索前列醇。利多卡因(卡因组)扩宫前宫颈外口处注射2%利多卡因5 m l。安定组扩宫前宫颈外口处注射安定10 mg。结果:三组患者镇痛效果、宫口松弛程度、人工流产综合征(RAAS)和术中出血量差异都有统计学意义(P<0.05)。结论:米索前列醇在人工流产术中使宫颈口松弛明显,减少了RAAS和术中出血量,缩短了手术时间,减轻了患者痛苦,操作简便,值得推广。
Objective: To observe the analgesic effect of misoprostol, lidocaine and diazepam in induced abortion. Methods: Two hundred and forty cases of pregnancy requiring termination of pregnancy were randomly assigned to three groups. Misoprostol (misoprostol) received 200 μg misoprostol sublingual 30 m before the operation. Lidocaine (Caine group) before dilatation of the cervix 2% lidocaine injection 5 m l. Stability group before the cervix uterus cervix oral stability and injection of 10 mg. Results: The analgesic effect, the degree of cervix relaxation, the incidence of induced abortion syndrome (RAAS) and intraoperative blood loss in the three groups were all statistically significant (P <0.05). Conclusion: Misoprostol in cervix in the induced abortion significantly relaxation, reduce the amount of bleeding and intraoperative RAAS, shorten the operation time, reduce the suffering of patients, easy to operate, it is worth promoting.