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目的:减轻人工流产疼痛,预防人工流产综合反应发生。方法:将426例早孕要求人工流产的孕妇随机分为用药组216例和未用药组210例,0.33％丁卡因5ml用18号硬膜外穿刺针推注子宫颈及官腔,1～3min后手术,观察受术者疼痛程度,宫颈松弛情况,不良反应及出血量,并与对照组相比。结果:丁卡因用于人工流产术有显著的镇痛效果(P0.05)。结论:硬膜外针推注丁卡因在人工流产术中有显著的镇痛效果和宫颈松弛作用。
Objective: To reduce the pain of induced abortion and prevent the comprehensive reaction of induced abortion. Methods: 426 pregnant women who requested abortion in early pregnancy were randomly divided into treatment group (216 cases) and non-medication group (210 cases), 0.33% tetracaine (5 ml) with 18 epidural needle for cervix and uterine cavity. After 1-3 minutes Surgery was observed by the degree of pain, cervical relaxation, adverse reactions and bleeding, and compared with the control group. Results: Tetracaine used in induced abortion had significant analgesic effect (P <0.01), and no increase in intraoperative bleeding (P> 0.05). Conclusion: Epidural bolus injection of tetracaine has significant analgesic effect and cervical relaxation in induced abortion.