目的：观察利多卡因宫旁阻滞联合宫腔灌注在人流术中镇痛的效果。方法:收集我院2005年1～2月门诊终止妊娠的早孕妇女共94例并分为两组:单纯宫旁阻滞组（简称单纯组）35例，宫旁阻滞联合宫腔灌注（简称联合组）59例。比较两种利多卡因局麻方式的效果。结果:（1)两组的止痛效果无明显差异(P=0.893);(2)联合组对宫颈的松弛作用优于宫旁阻滞(Ｐ=0.000);(3)联合组较多病例出现眩晕、耳鸣等副反应。结论:与单纯宫旁阻滞相比，宫旁阻滞联合宫腔灌注并无明显优势。
Citation：
LI Feilang,FU Hongchun,CHEN Wanqing,et al.. Paracervical Block Combined with Intrauterine Cavity Perfusion with Lidocaine on Pain Relief duringSuction Evacuation for Early Pregnancy Termination. West China Medical Journal, 2008, 23(1): 36-37. doi:
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. Miller L,Jensen MP,Stenchever MA.A double-blind randomized comparison of lidocaine and saline for cervical anesthesia[J].Obstet Gynecol,1996,87(4):600-4.
- 2. 智萍,肖晖,晁岱薇,方海琼.宫腔灌注利多卡因在人流术中镇痛作用的单盲对比研究.实用医学杂志,2003,19(2):139-140.
- 3. Edelman A,Nichols MD,Leclair C,Intrauterine lidocaine infusion for pain management in first-trimester abortions[J].Obstet Gynecol,2004,103(6):1267-72.
- 4. Edelman A,Nichols MD,Leclair C,Jensen JT.Four percent intrauterine lidocaine infusion for pain management in first-trimester abortions[J].Obstet Gynecol,2006,107(2 Pt 1):269-75.
- 5. 郭晓丹.利多卡因两种用药途径在人流术中麻醉效果对比[J].中原医刊,1999,26(6):50-51.
- 6. 凌萝达,顾美礼.难产[M].第二版.重庆:重庆出版社,2001:229-230.
