罗西维林联合盐酸利多卡因用于无痛人流的临床观察

Clinical Observation of Rociverine Combined with Lidocaine Hydrochloride for Painless Induced Abortion

目的:观察罗西维林联合盐酸利多卡因在人工流产中的效果。方法:随机抽取行人工流产术180例患者分成3组,每组60例,手术方式自愿选择。A组:盐酸利多卡因宫旁阻滞法。B组:先静脉注射芬太尼0.05mg,在静脉注射丙泊酚,意识消失后开始手术。C组:术前口服罗西维林20mg,开始前再用2%盐酸利多卡因5ml在宫颈4点及8点位置同法宫旁阻滞,3分钟后开始手术。术后再续服罗西维林。结果:三组各有优缺点,C组人流并发症最少,宫颈扩张效果好,镇痛效果同B组,费用A组最低,其次C组,B组费用最高,耗费人力多,麻醉风险大。结论:罗西维林联合盐酸利多卡因在无痛人流中镇痛效果好,并发症少,操作方便。

Objective： To observe the Rociverine combined with lidocaine hydrochloride in artificial abortion effect. Methods： Randomly selected for artificial abortion in 180 cases of patients were divided into 3 groups, 60 cases in each group, the voluntary choice of operation mode. Group A： lidocaine paracervical block method. B group： intravenous fentanyl 0.05 mg, intravenous injection of propofol in conscious disappeared after the operation began. Group C： preoperative oral Rociverine before the start of 20 mg, then 5ml of 2% lidocaine in 4 cervical and 8 position with the method of paracervical block, 3 minutes after the start of operation. Postoperative continues to convince Rociverine. Results： The three groups each have advantages and disadvantages, C group of abortion complications at least, cervical dilatation effect, analgesic effect with B group, A group is the lowest cost, followed by the C group, B group, the highest cost, human cost, anesthesia risk. Conclusion： The effect of Rociverine combined with lidocaine hydrochloride analgesia in induced abortion, less complication, easy operation.