摘要
目的:探究利多卡因浸润麻醉与宫颈扩张棒联用在人工流产患者中的应用效果。方法:按照入院顺序抽取我院自2015年12月~2016年12月收治的人工流产患者92例,按照抽签的方式,分为病例组(n=46)和对照组(n=46)。两组均进行利多卡因浸润麻醉,对照组患者采取传统金属扩张器进行扩张宫颈,病例组患者采取宫颈扩张棒进行扩张宫颈,对比两组的扩张效果、VAS评分、手术指标(术中出血量、手术时间)、人流综合征发生率以及满意度。结果:与对照组患者的扩张效果(95.7%)、满意度(97.8%)比较,病例组患者(73.9%、76.1%)较优;与对照组患者的VAS评分、人流综合征发生率比较,病例组患者较低,差异显著(P<0.05);与对照组患者的手术指标(术中出血量、手术时间)比较,病例组患者的无明显差异(P>0.05)。结论:利多卡因浸润麻醉与宫颈扩张棒联用,效果显著,给患者造成的疼痛较轻,满意度较高,缩短了手术时间,提高了手术的安全性,同时降低了人流综合征发生率,值得借鉴和推广。
Objective：To explore the effect of lidocaine infusion anesthesia combined with cervical dilatation in patients with induced abortion.Methods：92 cases of abortion patients admitted in a hospital from December 2015 to December 2016 were divided into case group（n=46）and control group（n=46）according to the order of admission.The patients in the control group were treated with the traditional metal dilator to expand the cervix.The patients in the case group were treated with cervical dilatation rods to expand the cervix.Then compare expansion effect,VAS score,surgical indicators（intraoperative blood loss,operation time）,the incidence of abortion syndrome and satisfaction of the two groups.Results：Compared with the control group,the VAS score and the incidence of abortion syndrome were significantly better in the case group,and the difference was statistically significant（P〈0.05）.There was no significant difference between the two groups in intraoperative blood loss and operation time（P〉0.05）.Conclusion：Lidocaine infiltration anesthesia combined with cervical dilatation has remarkaable effect,which can help relieve the patients’ pain,with high satisfaction,while reducing the incidence of abortion syndrome,and it is worth learning and promotion.
出处
《数理医药学杂志》
2017年第7期960-962,共3页
Journal of Mathematical Medicine
关键词
利多卡因
浸润麻醉
宫颈扩张棒
人工流产
lidocaine
infiltration anesthesia
cervical dilatation rod
artificial abortion
