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目的:探讨微管人工流产术联合双氯芬酸钠栓及利多卡因终止早早孕的效果及其临床应用价值。方法:孕35~42d自愿终止妊娠妇女240例,随机分为2组。观察组(120例)行微管人工流产术前给予双氯芬酸钠栓肛门放置、2%利多卡因宫颈浸润并宫腔注射;对照组(120例)行微管人工流产术。比较2组无痛率、镇痛有效率、完全流产率、手术时间、术时出血量和术后出血时间。结果:观察组无痛率和镇痛有效率均高于对照组(P<0.01);完全流产率、手术时间、术时出血量和术后出血时间2组比较差异均无统计学意义(P>0.05)。结论:微管人工流产联合双氯芬酸钠栓、利多卡因终止早早孕镇痛效果更佳,术后留院观察时间短,值得临床应用推广。
Objective: To investigate the effect of microtubule abortion combined with diclofenac sodium suppository and lidocaine on termination of early pregnancy and its clinical value. Methods: Two hundred and forty-four women with voluntary termination of pregnancy from 35 to 42 days of pregnancy were randomly divided into two groups. In the observation group (120 cases), diclofenac sodium was placed on the anus and 2% lidocaine was injected into the cervix before intrauterine injection. The control group (120 cases) underwent microtubation induced abortion. The painless rate, analgesic efficiency, complete abortion rate, operation time, blood loss during operation and postoperative bleeding time were compared between the two groups. Results: The painless rate and analgesic efficiency in the observation group were higher than those in the control group (P <0.01). There was no significant difference between the two groups in the rate of complete abortion, operation time, blood loss at operation and postoperative bleeding time (P > 0.05). Conclusion: Microtubation combined with diclofenac sodium suppository, lidocaine early termination of pregnancy analgesic effect is better, postoperative stay observation time is short, it is worth promoting the clinical application.