人工流产术中宫颈注射利多卡因的效果观察

Observation on the Efficacy of Lidocaine uterocervica injoction in Induced Abortion

于１９９６年３～９月试用２０ｍｇ／Ｌ利多卡因在人工流产术前宫颈管注射，以期达到扩张宫颈作用。采用单盲法，选择门诊孕６周～１２周要求终止妊娠且无心血管疾病史的健康妇女，随机分成Ａ、Ｂ两组。Ａ组１２５例为利多卡因组，Ｂ组１２０例为对照组。结果：麻醉效果Ａ组成功率９０％，有效率６．４％，无效率３．２％。人工流产综合征两组比较有明显差异（Ｐ＜０．０１），出血量对比无明显差异（Ｐ＞０．０５）。

Form May to September, 1996, 20 mg/L lidocaine uterocervica injection was performed before operation of induced abortion to expand uterocervica. By using single blind, the women of 6 12 week pregnancy without cardiovascular diseases who required to end the pregnancy were selected and randomly divided into two groups of A and B. 125 cases in group A served as lidocaine treated group and 120 cases in group as control group. The results showed that the successful rate, effective rate and invalid rate in anesthetic effect in group A were 90 %, 6.4 % and 3.2 % respectively. There was a significant difference in the incidence in induced abortion syndrome between the two groups ( P <0.01). There was no significant difference in bleeding volume between the two groups ( P >0.05).