利多卡因复合芬太尼宫颈局部麻醉在人工流产术中的应用

Application of lidocaine combined with fentanyl cervical local anesthetic in induced abortion

目的观察利多卡因复合芬太尼宫颈局部注射应用于人工流产术的麻醉效果。方法选取医院2012年9月-2014年11月收治的要求人工流产术的无麻醉、手术禁忌证的孕妇200例,随机分为A组和B组各100例。A组采用宫颈注射利多卡因复合芬太尼,B组采用宫颈注射利多卡因,观察2组镇痛效果,宫颈松弛效果、出血量、手术时间及不良反应发生率。结果 A组患者的镇痛有效率为98%高于B组的92%,手术时间短于B组,术后腹痛发生率低于B组,差异均有统计学意义(P<0.01或P<0.05)。2组宫颈松弛、出血量比较差异无统计学意义(P>0.05)。2组均未出现严重不良发应。结论利多卡因复合芬太尼宫颈局部麻醉用于人工流产术是安全、有效、价廉、简便的方法,值得临床推广应用。

Objective To explore the parturiency effect of lidocaine combined with fentanyl cervical local anesthetic in induced abortion. Methods Selected 200 cases of pregnant women required induced abortion,from September 2012 to November 2014 in the hospital,randomly divided into A group and B group（ each of 100 cases）. A group used cervical injection of lidocaine combined with fentanyl,B group used cervical injection of lidocaine. Observed the analgesic effect,cervical relaxation effects,blood loss,operation time and incidence of adverse reactions in two groups. Results The analgesic effective rate of A group was 98% higher than 92% of B group; The operation time of A group was shorter than B group; The incidence of postoperative pain was lower than B group,the differences were statistically significant（ P〈0. 01 or P〈0. 05）. The difference of cervical relaxation,bleeding of two groups were not statistically significant（ P〉0. 05）. No serious adverse appearred in two groups. Conclusion Application of cervical local injection lidocaine combination fentanyl in induced abortion operation is safe,effective,low price and simple method. It is worth clinical application.