论文部分内容阅读
目的观察利多卡因复合芬太尼宫颈局部注射应用于人工流产术的麻醉效果。方法选取医院2012年9月-2014年11月收治的要求人工流产术的无麻醉、手术禁忌证的孕妇200例,随机分为A组和B组各100例。A组采用宫颈注射利多卡因复合芬太尼,B组采用宫颈注射利多卡因,观察2组镇痛效果,宫颈松弛效果、出血量、手术时间及不良反应发生率。结果 A组患者的镇痛有效率为98%高于B组的92%,手术时间短于B组,术后腹痛发生率低于B组,差异均有统计学意义(P<0.01或P<0.05)。2组宫颈松弛、出血量比较差异无统计学意义(P>0.05)。2组均未出现严重不良发应。结论利多卡因复合芬太尼宫颈局部麻醉用于人工流产术是安全、有效、价廉、简便的方法,值得临床推广应用。
Objective To observe the anesthetic effects of local injection of lidocaine and fentanyl into abortion. Methods A total of 200 pregnant women who were admitted to our hospital from September 2012 to November 2014 without anesthesia and contraindication for abortion were randomly divided into group A and group B with 100 cases each. Group A received injection of lidocaine and fentanyl, Group B received injection of lidocaine. The analgesic effect, cervical relaxation, bleeding volume, operation time and incidence of adverse reactions were observed. Results The effective rate of analgesia in group A was 98% higher than that in group B, the operation time was shorter than that in group B, and the incidence of postoperative abdominal pain was lower than that in group B, the difference was statistically significant (P <0.01 or P < 0.05). There was no significant difference between the two groups in cervical relaxation and bleeding volume (P> 0.05). No serious adverse reactions occurred in both groups. Conclusion The combination of lidocaine and fentanyl cervical local anesthesia for artificial abortion is a safe, effective, inexpensive and simple method, which is worthy of clinical application.