地西泮联合利多卡因在人工流产镇痛中的应用效果观察

摘要

Objective To explore the analgesic effect of diazepam combined with lidocaine in artificial abortion. Meth-ods 320 cases of artificial abortion from January 2013 to December in our hospital were selected and randomly divided into the observation group and the control group,160 cases in each group.The observation group was given painless op-eration,the control group was not given any analgesic measures.The degree of pain,cervical dilatation,the incidence of artificial abortion syndrome,bleeding and uterine contraction during operation in two groups was compared respectively. Results The degree of pain in the observation group was lower than that in the control group,with significant difference (P<0.05).The degree of cervical dilatation in the observation group was better than that in the control group,with signifi-cant difference (P<0.05).There was no significant difference between two groups in the uterine contraction and blood loss (P>0.05).The incidence of artificial abortion syndrome in the observation group was better than that in the control group,with significant difference (P<0.05). Conclusion The analgesic effect of diazepam combined with lidocaine in ar-tificial abortion is significant,which can effectively prevent the occurrence of artificial abortion syndrome,shorten the time of cervical dilation,it is worthy of promotion and application..%目的：探讨地西泮联合利多卡因在人工流产术中的镇痛效果。方法选取2013年1~12月在本院门诊自愿选择人工流产的320例妇女作为研究对象，随机分为观察组和对照组，各160例。观察组选择无痛手术，对照组不采取任何镇痛措施。比较两组的术中疼痛程度、宫颈扩张情况、人工流产综合征发生率、出血量及子宫收缩情况。结果观察组的疼痛程度显著低于对照组，差异有统计学意义(P<0.05)。观察组的宫颈松弛度显著优于对照组，差异有统计学意义(P<0.05)。两组的术中子宫收缩情况及出血量比较，差异无统计学意义(P跃0.05)。观察组的人工流产综合征发生率显著低于对照组，差异有统计学意义(P<0.05)。结论地西泮联合利多卡因在人工流产中的镇痛效果显著，能够有效防止人工流产综合征的发生，缩短扩张宫颈时间，值得临床推广应用。