人工流产术前两种镇痛方法的临床效果比较

The clinical analysis of two analgesic methods in preoperative induced abortion

目的:比较在人工流产术前分别口服米索前列醇与宫颈旁注射利多卡因的临床效果。方法:将260例早孕妇女分为两组,A组为米索前列醇组,在人工流产前2h空腹顿服米索前列醇0.4mg。B组为利多卡因组,术前用1%盐酸利多卡因注射液5mL宫颈旁4、8点钟处各注射2.5mL约5min后手术,观察术中宫颈松弛、镇痛效果等。结果:术中宫颈松弛程度,A组与B组经统计学处理差异有显著性(P<0.05),尤其在显效方面,两组比较差异有高度显著性(P<0.01);A组与B组镇痛效果比较,两无统计学意义(P>0.05)。结论:A组与B组均对宫颈松弛与镇痛效果满意,两组方法安全、简便、有效,适宜在基层单位、计划生育技术服务机构采用,尤其以术前口服米索前列醇更受施术者及受术者接受,更值得推广应用。

Objective To investigate the degrees of cervical relaxation, pain and other clinical effects in induced abortion before surgery, oral misoprostol and paracervical injection with lidoeaine were used. Methods 260 women with early pregnance were randomly divided into two groups. A group： the oral misoprostol group, 0.4 mg Dayton misoprostol was taken orally 2 hours before the operation. B group： the lidoeaine-injeeted group, the cervical tissue were injected respectively with 1% lidocaine hydroehloride for 2.5 mL at 4, 8 o＇clock about 5 minutes before the surgery. The cervical relaxation, pain and other indexs were observed. Results There was statistically significant difference between A group and B group in the degree of cervical relaxation during operation （P 〈 0.05）, especially in taking effect of the drugs （P 〈 0.01 ）. There was no significant difference between A group and B group in the analgesic effect （P 〉 0.05）. Conclusions A group and B group methods play an important part in the cervical relaxation and analgesia results with satisfaction. They are safe, simple, effective. The former is more received by the performer and patients, and worthy of application.