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目的探讨碳酸利多卡因宫颈浸润麻醉联合复方萘普生栓直肠用药用于人工流产术的临床价值。方法选择2008年2月至2010年2月在忻州市人民医院妇产科就诊的妊娠6～10周以内,要求终止妊娠的早孕妇女150例,分成3组,每组各50例。A组:术前复方萘普生栓直肠给药,联合碳酸利多卡因宫颈浸润麻醉;B组:单用碳酸利多卡因宫颈浸润麻醉;C组为对照组,不用任何药物。观察各组镇痛效果,宫颈松弛程度,术中出血量,人工流产综合征发生率。结果 A组的镇痛效果,宫颈松弛度,人工流产综合征发生率显著低于B、C组,差异有统计学意义(P<0.05)。结论碳酸利多卡因宫颈浸润麻醉联合复方萘普生栓直肠用药施行人工流产术,方法简单,镇痛效果明显,无明显不良反应,值得推广应用。
Objective To investigate the clinical value of lidocaine carbonate infiltration anesthesia combined with compound naproxen suppository for artificial abortion. Methods From February 2008 to February 2010 in Xinzhou People’s Hospital obstetrics and gynecology treatment of pregnancy within 6 to 10 weeks, 150 pregnant women were required to terminate the pregnancy, divided into 3 groups of 50 cases each. Group A: preoperative naproxen plug rectal administration, combined with lidocaine carbonate cervical infiltration anesthesia; Group B: single use of lidocaine carbonate cervical infiltration anesthesia; Group C as the control group, without any drug. Observe the analgesic effect of each group, cervical relaxation, intraoperative blood loss, the incidence of induced abortion syndrome. Results A group of analgesic effect, cervical relaxation, the incidence of induced abortion syndrome was significantly lower than the B, C group, the difference was statistically significant (P <0.05). Conclusion Intravenous injection of lidocaine carbonic acid combined with compound naproxen for retroviral administration of abortion, the method is simple, obvious analgesic effect, no obvious adverse reactions, it is worth to promote the application.