利多卡因用于人工流产手术麻醉80例临床分析

Clinical Analysis of 80 Cases of Abortion Anesthetized by Lidocaine

目的探讨利多卡因宫颈注射用于人工流产术的有效性和安全性。方法Ⅰ组50例孕6～10周要求终止妊娠的初孕妇宫颈局部注射2%盐酸利多卡因5 ml,2 min后手术。Ⅱ组30例为对照组,即在同样条件下,采用传统扩宫法不用任何药物进行人工流产术。观察人流综合征(RAAS)的发生以及平均出血量。结果两组患者镇痛效果比较Ⅰ组为84%,Ⅱ为50%,差异有统计学意义(P<0.01);用药后宫颈口全部松弛者占96%,对照组无一例宫口完全松弛,两者差异有统计学意义(P<0.01);RAAS发生率:观察组1例,占2%,对照组5例,占16.7%,两者差异有统计学意义(P<0.01)。结论盐酸利多卡因注射用于人工流产的镇痛效果和宫颈松弛效果确切且价格低廉,方法简便易行,安全可靠,是一种较好的人工流产的镇痛方法,值得在广大基层医院推广。

Objective To study the efficacy and safety of lidocaine cervical injection on the abortion. Methods Group I ： 50 cases of pregnant with the gestational age of 6 to 10 weeks were terminated the pregnancy by cervical injection of 2% lidocaine hydrochloride 5 ml, the surgery was done 2 rain later. Group II （the control group） ：30 cases received the traditional cervical expansion way without using any drug to induce abortion. The occurrence of（RAAS） and the average amount of bleeding were observed. Results The analgesic effect were 84% for group I and 50% for group II , there was a significant difference （ P 〈 0. 05 ）. The relaxation of the civic after the cervical injection was 96% in the group I and 0% in group IT , and the difference was statistically significant（P 〈0.05）. The occurrence of RAAS was 2% in group I and 16.7% group II （P 〈0.05）. Conclusion The effect of hydrochloride lidocaine injection on the analgesia and cervical relaxation is really available, lowcost, simple, safe and good analgesic method for abortion, which should be popularized in the grass-roots level hospital.