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目的观察消炎痛栓、利多卡因和米索前列醇在官腔镜检查和手术时的镇痛效果。方法将200例门诊宫腔镜检查的患者随机分为4组:对照组30例,术前不用任何药物;消炎痛栓组50例,术前30分钟肛管给药100mg;利多卡因组90例,扩宫前用1%利多卡因8ml于宫颈旁1、4、8、11点浸润麻醉各2ml;米索前列醇组30例,术前2小时阴道穹降放药400μg。操作过程中按照一定的标准观察各组病人疼痛程度,并检测血压和脉搏。结果各用药组的镇痛效果和对照组比较均有显著性差异(P<0.05);利多卡因组和米索前列醇组与消炎痛栓组比较均有显著性差异(P<0.05),但该两组比较差异无显著性(P>0.05)。结论宫腔镜检查及手术前合理应用镇痛药,选择理想的麻醉方法,可缓解病人的疼痛,值得推广应用。
Objective To observe the analgesic effect of indomethacin suppository, lidocaine and misoprostol during the routine endoscopy and surgery. Methods 200 cases of outpatient hysteroscopy were randomly divided into 4 groups: control group of 30 patients without preoperative medication; 50 patients with indomethacin suppository, 30mg preoperative anal canal administration of 100mg; lidocaine group 90 For example, 8ml of 1% lidocaine was infused before the dilatation and 2ml each infiltrated with 1, 4, 8 and 11 points of the cervix. In the misoprostol group, 30 cases were treated with 400μg of vaginal vault. During the operation, the pain level of each group of patients was observed according to a certain standard, and blood pressure and pulse rate were measured. Results The analgesic effect of each drug group was significantly different from that of the control group (P <0.05), and there was significant difference between lidocaine group and misoprostol group and indomethacin group (P <0.05) However, there was no significant difference between the two groups (P> 0.05). Conclusion Hysteroscopy and preoperative analgesics reasonable application, choose the ideal method of anesthesia, can relieve the patient’s pain, it is worth promoting the application.