口服曲马多配伍宫颈注射利多卡因在早孕人工流产术中应用.docVIP

口服曲马多配伍宫颈注射利多卡因在早孕人工流产术中应用[摘要] 目的：探讨口服曲马多配伍宫颈注射利多卡因在早孕人工流产术中的应用效果。方法：选择2003～2004年在我院门诊要求行人工流产且无禁忌证的早孕妇女1 600例，随机分为观察组和对照组，每组800例，观察组口服曲马多联合宫颈注射利多卡因，对照组单用曲马多，比较两组镇痛效果、宫颈松弛、术中失血情况及术后离院时间。结果：观察组中度以上疼痛少于对照组，而中度以下疼痛多于对照组，差异有统计学意义（P＜0.05）；观察组宫颈松弛效果要好于对照组（P＜0.05）；两组血压、心率、出血量及离院时间比较，差异无统计学意义（P＞0.05）。结论：口服曲马多配伍宫颈注射利多卡因效果明显优于单一用药，对术中出血无明显影响，值得推广应用。 [关键词] 曲马多；利多卡因；人工流产；疼痛 [中图分类号] R715.2[文献标识码]C [文章编号]1673-7210（2008）11（a）-050－０2 The application of oral Tramadol united cervical injection of Lidocaine in artificial abortion WANG Zhi-hui (Maternal and Child Health Hospital of Haizhu District of Guangzhou City, Guangzhou510000, China) [Abstract] Objective: To explore the application effect of oral Tramadol united cervical injection of Lidocaine in artificial abortion. Methods: From 2003 to 2004 in our hospital out-patient request line of abortion and no contraindication of 1 600 cases of early pregnancy women were divided into observation and control groups, 800 patients each group. The observer Group of oral Tramadol united cervical Lidocaine injection, the control group alone Tramadol, compareed their pain-control effect, cervical flab, bleeding in operation and leave hospital time. Results: More than moderate pain in the observation group is less than the control group, and moderate pain following is more than the control group, the difference has statistical significance（P＜0.05）; cervical flab in the observation group is better than the control group（P＜0.05）; the blood pressure, heart rate, bleeding amount and leave hospital time in the two group has no statistical significance（P＞0.05）. Conclusion: The effect of oral Tramadol united cervical injection of Lidocaine is better than a single drug, the bleeding when patients had no significant effect, should be applied. [Key words] Tramadol; Lidocaine; Artificial abortion; Pain 人工流产是避孕失败后的补救措施，虽属妇产科小型手术，但受术者多存在着不同程度的下腹疼痛，尤以初孕妇和剖宫产史者为甚，如果扩宫不充分，不利于操作，易发生出血、流产不全、甚至子宫穿孔、宫颈裂伤等并发症[1]。因此，如何减轻患者术中的疼痛感，已经越来越受到医护人员的关注。