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目的探讨利多卡因宫腔宫颈表面麻醉用于人工流产术的临床价值。方法选取行人工流产的健康孕妇240例,随机分为有可比性的两组。其中观察组130例,给予利多卡因宫腔宫颈表面麻醉;对照组110例,给予异丙酚麻醉。对两组患者镇痛效果、宫颈扩张效果、手术时间、术中出血量以及不良反应进行比较。结果对照组镇痛有效率较观察组率高,但差异无统计学意义(P>0.05);观察组宫口扩张有效率为92.31%,明显优于对照组的78.18%;观察组患者手术时间明显短于对照组,出血量明显少于对照组,差异有统计学意义(P<0.01);药物不良反应及人工流产综合征发生率明显低于对照组。结论利多卡因宫腔宫颈表面麻醉用于人工流产术是安全、有效的,值得临床推广。
Objective To investigate the clinical value of lidocaine on cervical surface anesthesia for induced abortion. Methods A total of 240 healthy pregnant women undergoing induced abortion were randomly divided into two groups. 130 cases in the observation group were given lidocaine on the uterine cervix surface anesthesia; control group, 110 cases were given propofol anesthesia. The two groups of patients analgesic effect, cervical dilation effect, operation time, intraoperative blood loss and adverse reactions were compared. Results The effective rate of analgesia in the control group was higher than that in the observation group, but the difference was not statistically significant (P> 0.05). The effective rate of dilatation of the cervix in the observation group was 92.31%, which was significantly better than 78.18% of the control group. Significantly shorter than the control group, the amount of bleeding was significantly less than the control group, the difference was statistically significant (P <0.01); adverse drug reactions and the incidence of induced abortion syndrome was significantly lower than the control group. Conclusions Lidocaine for uterine cervical surface anesthesia for artificial abortion is safe and effective, which is worthy of clinical promotion.