微型吸管加宫颈表面麻醉终止早孕的临床观察

Clinical Observation of Cervical Increase Microsuction Surface Anesthesia for Termination of Early Pregnancy

目的:观察微型吸管加宫颈表面麻醉剂用于早孕无痛人工流产术中对人工流产综合征发生率的影响。方法:对178例≤50d的早孕人工流产患者随机分为研究组90例,施行微型吸管加宫颈表面麻醉(地卡因)人工流产术,对照组88例,采用传统负压吸引加宫颈表面麻醉(地卡因)人工流产术,比较二组人工流产综合征发生率、疼痛程度、术中出血量以及术后不适感消失时间。结果:研究组人工流产综合征发生率、疼痛程度、术中出血量、手术时间及术后不适感消失时间与对照组比较差异均有统计学意义(P<0.01)。结论:微型吸管加宫颈表面麻醉用于早孕无痛人工流产术能减少人工流产综合征的发生,减轻患者的疼痛,减少术中出血量,术后不适感消失快,值得推广应用。

Objective： To observe the influence of cervical increase microsuction surface anesthesia on the rate of abortion syndrome during painless abortion of early pregnancy. Methods： A total of 178 cases with induced abortion of early pregnancy （≤ 50 d） were divided into study group （n=90） and control group （n=88） randomly. In study group, the patients received cervical increase microsuction surface anesthesia （Dicaine）, and in the control, they received cervical increase traditional vacuum suction surface anesthesia （Dicaine）. The rate of abortion syndrome, the pain level, the bleeding volume during surgery and the disappear time of discomfort after surgery were compared between the two groups. Results： The rate of abortion syndrome, the pain level, the bleeding volume during surgery, surgery time and the disappear time of discomfort after surgery in study group had significantly statistical differences compared with those in control group （P〈0.01）. Conclusion： Cervical increase microsuction surface anesthesia used in painless abortion of early pregnancy could reduce the occurrence of abortion syndrome, alleviate pain and decrease the bleeding volume during surgery, discomfort after surgery disappeared quickly, so it is worthy of being popularized and applied.