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目的:探讨利多卡因、阿托品局部宫颈注射在人工流产术中的应用。方法:320例无全身性疾病及药物过敏史患者分观察组与对照组,两组年龄、孕产次、孕周基本相同,观察组用2%利多卡因5 ml及阿托品0.5 mg为1 ml,混合后分别行宫颈注射,5 min后行人工流产术。结果:按WHO规定疼痛分级,术中镇痛情况,观察组无痛率70.63%,而对照组无痛率为6.25%,两组比较差异有统计学意义(P<0.05)。结论:小剂量利多卡因联用阿托品局部宫颈注射用于人工流产术的镇痛,其操作简单易行、镇痛效果好、安全,价格低廉,易被孕妇接受。
Objective: To investigate the application of local injection of lidocaine and atropine in induced abortion. Methods: There were 320 patients without systemic diseases and drug allergy in the observation group and the control group. The age, pregnancy time and gestational age of the two groups were basically the same. In the observation group, 5 ml lidocaine 2% and 0.5 mg atropine 0.5 ml , After cervical injection were mixed, artificial abortion after 5 min. Results: According to the WHO classification of pain and analgesia during operation, the painless rate was 70.63% in the observation group and 6.25% in the control group. The difference between the two groups was statistically significant (P <0.05). Conclusion: A small dose of lidocaine with atropine topical cervical injection for abortion analgesia, its simple and easy operation, analgesic effect, safety, low price, easily accepted by pregnant women.