利多卡因宫旁阻滞联合宫腔灌注在人流术中镇痛的初步观察

Paracervical Block Combined with Intrauterine Cavity Perfusion with Lidocaine on Pain Relief during Suction Evacuation for Early Pregnancy Termination

目的:观察利多卡因宫旁阻滞联合宫腔灌注在人流术中镇痛的效果。方法:收集我院2005年1～2月门诊终止妊娠的早孕妇女共94例并分为两组:单纯宫旁阻滞组(简称单纯组)35例,宫旁阻滞联合宫腔灌注(简称联合组)59例。比较两种利多卡因局麻方式的效果。结果:(1)两组的止痛效果无明显差异(P=0.893);(2)联合组对宫颈的松弛作用优于宫旁阻滞(P=0.000);(3)联合组较多病例出现眩晕、耳鸣等副反应。结论:与单纯宫旁阻滞相比,宫旁阻滞联合宫腔灌注并无明显优势。

Objective：To compare the influence of paracervical block（PCB）or PCB combined with intrauterine infusion（Ⅱ）with lidocaine on pain relief during suction evacuation for early pregnancy termination.Methods：Ninty-four cases of early pregnant women who want to have suction evacuation for pregnancy termination were studied from January to February in 2005 in the outpatient department in our hospital.They were assigned to the group of PCB（35 cases）and the combined group（59 cases）.the outcome of these two lidocaine local anaesthesia was compared.Results：PCB combined with Ⅱ is better than PCB only for the cervical relaxation（P=0.000）There were no significant difference of pain relief and induced abortion syndrome between the two groups.Conclusion：PCB combined with Ⅱ had no obvious advantage than PCB only during suction evacuation for early pregnancy termination.