痛立克在无痛人工流产术中的应用

Use of Ketorolac Tromethamine in Painless Induced Abortion

目的：了解痛立克在人工流产术（简称人流术）中的镇痛作用。方法：选门诊健康早孕妇女２５０例，分为两组。用药组肌注痛立克３０ｍｇ，５０ｍｉｎ后施术；对照组用０．２％利多卡因３ｍｌ，宫颈及宫腔局部麻醉，２ｍｉｎ后施术。结果：用药组显效率及总有效率较对照组明显增高，（Ｐ＜０．０５及Ｐ＜０．０１），而子宫收缩及术中出血量与对照组差异无显著性（Ｐ＞０．０５）。结论：痛立克在人流术中镇痛效果较利多卡因局麻更好。

Objective:To observe analgesia effect of ketorolac tromethamine in induced abortion.Methods:250 cases of healthy women without prior caesarean section history in outpatient service who want to have a induced abortion at 6～10 weeks of gestation were devided into two groups at random (study group,200 cases;control group,50 cases).Ketorolac tromethamine(30mg) was intramuscular injection at about fifty minutes before induced abortion.Controls had a local infiltration anaesthesia of 0.2% lidocaine(3 ml) in cervix and uterin cavity.Results:Notable effective rate and total effective rate in study group were distinctly higher than in control group,P<0.05 and P<0.01 respectively.Conclusion:Analgesia effect of ketorolac tromethamine is better than lidocaine infiltration anaesthesia in induced abortion.