盐酸利多卡因宫颈局麻加宫颈旁阻滞麻醉在人工流产中的镇痛效果观察

ANALGESIC EFFECT OF LIDOCAINE HYDROCHLORIDE THROUGH CERVICAL LOCAL ANESTHESIA AND PAPACERVICAL BLOCK ANESTHESIA IN ARTIFICIAL ABORTION

目的 :观察、比较盐酸利多卡因 (LidocaineHydrochloride)宫颈局部麻醉加宫颈旁阻滞麻醉在人工流产中的镇痛效果。方法 :用 0 5 %～ 1%的盐酸利多卡因宫颈局麻加宫颈旁阻滞麻醉后 2min行人工流产术 ,观察疼痛程度、血压、心率、宫口扩张情况等方面情况 ,比较镇痛效果、人流综合征发生情况。结果 :宫颈局麻加宫颈旁阻滞麻醉镇痛有效率为 76 6 7%。结论 :盐酸利多卡因宫颈局麻加宫颈旁阻滞麻醉对人工流产镇痛效果肯定 ,值得在基层医院推广应用。

OBJECTIVE:To investigate the analgesic effect of lidocaine hydrocloride by cervical local anesthesia and paracervical block anesthesia in artificial abortion. METHOD:Abortion was conducted 2 minutes after administration of 0.5%～1.0% lidocaine hydrochloride through cervical local anesthesia and paracervical block anesthesia. Then, analgesic effect, hypertension, heart rate, cervical canal dilatation and abortion syndrome were measured or observed. RESULTS: 76.6% patients were effective to the analgesic method. CONCLUSION:The analgesic effect of lidocaine hydrochloride through cervical local anesthesia plus paracervical block anesthesia is good for artificial abortion and the technique can be used in grass-roots hospital.