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目的:观察早孕人工流产术中两种镇痛方法的镇痛效果及可行性。方法:将符合要求并自愿接受人工流产术的妊娠6～10周妇女400例按就诊的先后顺序随机分为A、B两组各200例,其中A组联合应用利多卡因+双氯芬酸钠栓镇痛,B组单用地佐辛镇痛。观察两组的镇痛有效率、宫颈松弛率及人工流产综合征发生情况。结果:两组的镇痛总有效率为92.25%,其中A组为90.5%,B组为94.0%,两组比较χ2=8.322,P<0.05。两组宫颈扩张总有效率为92.3%,其中A组为91.0%,B组为93.5%,两组比较χ2=8.322,P>0.05;两组人流综合征发生率为7.8%,其中A组为4.5%,B组为11.0%,两组比较χ2=5.189,P<0.05。结论:两种镇痛方法均适于基层医院推广应用。联合应用利多卡因+双氯芬酸钠栓简单有效,镇痛效果稍差,但费用低廉;单用地佐辛镇痛简单有效,镇痛效果好,费用略高,但比无痛人流费用低廉。
OBJECTIVE: To observe the analgesic effect and feasibility of two analgesic methods in abortion of early pregnancy. Methods: According to the order of treatment, 400 pregnant women of 6-10 weeks of gestation, who meet the requirements and voluntarily accepted abortion, were randomly divided into two groups (A and B), with 200 cases in each group. A group was given lidocaine combined with diclofenac sodium Pain, group B alone Zuo Xin analgesic. The two groups were observed analgesic efficiency, cervical relaxation rate and the incidence of induced abortion syndrome. Results: The total effective rate of analgesia was 92.25% in both groups, in which group A was 90.5% and group B was 94.0%, χ2 = 8.322, P <0.05. The total effective rate of cervical dilatation in the two groups was 92.3%, in which group A was 91.0%, group B was 93.5%, χ2 = 8.322, P> 0.05; the incidence of flow syndrome in both groups was 7.8% 4.5% in group B and 11.0% in group B, χ2 = 5.189, P <0.05. Conclusion: The two analgesic methods are suitable for the promotion and application of primary hospitals. Combination of lidocaine + diclofenac sodium suppository simple and effective, slightly less analgesic effect, but the cost is low; single Zuochen analgesic simple and effective analgesic effect, the cost is slightly higher, but lower than painless abortion costs.