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目的:探讨盐酸哌替啶、利多卡因联合应用在人工流产中的镇痛效果。方法盐酸哌替啶肌注、利多卡因宫旁阻滞麻醉。结果宫颈松弛度用药组为91.8%(659/718),对照组为19%(57/300);中度和重度腹痛用药组为7.1%(51/718),对照组为61.7%(185/300);人工流产综合征发生率用药组为2.92%(21/718),对照组为29.7%(89/300)。两组比较差异有显著性(P<0.001)。结论盐酸哌替啶、利多卡因联合应用在人工流产中有较好的镇痛效果。
Objective: To investigate the analgesic effect of combination therapy of pethidine hydrochloride and lidocaine in induced abortion. Methods Pethidine hydrochloride intramuscular injection, lidocaine blockade anesthesia. Results Cervical relaxation was 91.8% (659/718) in the treatment group and 19% (57/300) in the control group, 7.1% (51/718) in the moderate and severe abdominal pain group, and 61.7% (185 / 300). The incidence of induced abortion syndrome was 2.92% (21/718) in the medication group and 29.7% (89/300) in the control group. The difference between the two groups was significant (P <0.001). Conclusion Combined use of pethidine hydrochloride and lidocaine has a good analgesic effect in induced abortion.