碳酸利多卡因止痛及防治人流综合反应的临床观察

Clinical observation of acesodyne and preventing artificial abortion syndrome by carbonic acid lidocaine

目的减轻人工流产时痛苦,预防人流综合反应的发生。方法选择自愿终止妊娠的早孕妇女260例,随机分为观察组及对照组,每组130例,分别在术前宫旁神经阻滞麻醉注射碳酸利多卡因及盐酸利多卡因,观察患者宫口扩张情况,止痛效果及人流综合反应的发生情况。结果观察组的扩宫效果及止痛效果均高于对照组,人流综合反应发生率低于对照组。两组间比较,均有显著性差异,P<0.05。结论宫颈注射碳酸利多卡因于人工流产不仅扩宫效果好、止痛效果佳,还能有效的预防人流综合反应的发生。

Objective To relieve the pain of artificial abortion and prevent artificial abortion syndrome. Methods Two hundreds and sixty early pregnant women who wanted to end pregnancy voluntarily were chosen to be studied. They were divided into the observe group and the control group in random. There were 130 women in each group and they accepted nerve block anesthesia with injecting carbonic acid lidocaine and hydrochloric acid lidocaine separately at the side of uterus before the surgery. The situation of dilatation of cervix, the effect of relieving pain and the occurrence of artificial abortion syndrome were observed. Results The rates of effectiveness of dilating cervix and of relieving pain in the oberve group were both higher than those in the control group. And the rate of occurrence of artificial abortion syndrome in the observe group was lower than that in the control group. And The differences were both significant （P 〈 0.05 ）. Conclusions For artificial abortion, injecting Carbonic acid lidocaine in the cervix not only has good effects of dilating cervix and of relieving pain, but also can effectively prevent the occurrence of artificial abortion syndrome.