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目的:观察人工流产术中采用利多卡因局麻镇痛,术后即时口服去氧孕烯炔雌醇(妈富隆)避孕对生殖健康的保护和影响。方法:将我院门诊2013年2月-2013年8月就诊的60例早孕要求人工流产的患者随机分为观察组(30)人,对照组(30)人作为研究对象。观察组在人工流产术中采用利多卡因局麻镇痛,术后即时口服去氧孕烯炔雌醇避孕,每天一次,连服21天。对照组采用传统人流,术后仅常规服一般抗生素和新生化颗粒3天。均知情同意。结果:观察组在人工流产术中宫颈的松弛程度,镇痛的效果,人流综合征,术后出血时间,出血量,月经恢复情况,避免重复妊娠等方面均优于对照组(P<0.01)。结论:人工流产术中采用利多卡因局麻镇痛,术后即时口服去氧孕烯炔雌醇(妈富隆)避孕对生殖健康有明显的保护作用,效果满意,有广泛的临床应用价值。
OBJECTIVE: To observe the protection and effect of local anesthesia with lidocaine on abortion in abortion, and immediate postoperative oral administration of progesterone ethinyl estradiol (Marvelon). Methods: Sixty cases of abortion requiring early pregnancy who were treated in our hospital from February 2013 to August 2013 were randomly divided into observation group (30) and control group (30) as study subjects. The observation group in the abortion surgery using lidocaine local anesthesia, postoperative oral administration of desogestrel ethinyl estradiol contraception, once daily, and even for 21 days. The control group using the traditional flow, postoperative general routine antibiotics and new biochemical particles for 3 days. Informed consent. Results: The degree of cervix relaxation, analgesic effect, flow syndrome, postoperative bleeding time, bleeding volume, menstruation recovery and avoiding repeated pregnancy in observation group were better than those in control group (P <0.01) . CONCLUSION: The local anesthesia with lidocaine induced by abortion in real abortion has obvious protective effect on reproductive health after oral administration of desogestrel ethinyl estradiol (Marvelon) contraceptive. The results are satisfactory and have a wide range of clinical value.