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目的探讨人工流产术前应用米索前列醇联合利多卡因扩宫止痛的临床效果。方法对240例应用米索前列醇加利多卡因(A组),利多卡因(B组),米索前列醇(C组),以及设计对照组(D组)进行临床比较。4组对象临床特征基本相同(P>0.05),有可比性。结果3种方法均有明显的扩张宫颈和镇痛效果,无阻力扩宫例数,术中无或轻腹痛例数,术中出血量、手术时间、人流综合症发生率各组比较有显著意义(P<0.01)。以A组最佳。结论米索前列醇加利多卡因用于人工流产具有显著扩张宫颈和较强镇痛作用,又能减少出血量,又能缩短手术时间,是安全、简单、经济、有效方法。
Objective To investigate the clinical effect of misoprostol combined with lidocaine for analgesia before induced abortion. Methods 240 patients were treated with misoprostol plus lidocaine (group A), lidocaine (group B), misoprostol (group C), and design control group (group D). The clinical features of the four groups were basically the same (P> 0.05), comparable. Results All the three methods showed obvious effect of expanding cervix and analgesia, the number of cases without resistance expansion, the number of cases without or with mild abdominal pain, the amount of bleeding during operation, the operation time and the incidence of flow syndrome were significant in all groups (P <0.01). A group of the best. Conclusion Misoprostol plus lidocaine is a safe, simple, economical and effective method for abortion with significant cervical and analgesic effects. It can also reduce the amount of bleeding and shorten the operation time.