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目的:对于无产史、剖宫产者及精神过度紧张害怕疼痛等这些特殊的育龄人群,在放置宫内节育器时给予必要的干预来降低手术所引发的盆腔疼痛。方法:选择剖宫产术、无产史、及精神过度紧张等要求放置宫内节育器并术前检查合格的妇女,分为干预组和对照组各150例,选择适宜放置节育器的时期及时间内,干预组根据特殊人群的生理与心理特点,在术前及术中采用心里疏导与药物配合结合的方法共同给予干预,对照组不采取任何干预。结果:干预组镇痛效果及宫颈口令手术满意率均高于对照组(p<0.05),干预组心脑综合症及置器失败率均低于对照组(p<0.05)。结论:两联止痛法对于特殊人群在放置节育器时给予干预有其必要性和可施性。
OBJECTIVE: To provide the necessary intervention for the treatment of unexplained births, cesarean extremities, and fear of pain due to over-stressful conditions such as pain relief during the placement of an IUD to reduce pelvic pain caused by surgery. Methods: Select cesarean section, no history of labor, and mental stress such as the requirements of intrauterine devices and preoperative examination of women, divided into intervention group and control group of 150 cases, select the appropriate placement of the IUD and the time According to the physiological and psychological characteristics of the special population, the intervention group and the control group were given interventions in the preoperative and intraoperative phases, respectively. The control group received no intervention. Results: The analgesic effect of the intervention group and the satisfactory rate of cervical oral surgery were all higher than those of the control group (p <0.05). The failure rates of the cardiocerebral syndrome and the device in the intervention group were lower than those of the control group (p <0.05). Conclusion: The two-couple analgesic method is necessary and feasible for special population to intervene in placement of an IUD.