利多卡因宫颈局麻联合心理干预在人工流产术中的应用效果观察

摘要

目的 研究分析利多卡因宫颈局麻联合心理干预在人工流产术中的应用效果.方法 选取2015年3月~2016年8月于本院进行人工流产的200例患者作为研究对象,随机分为对照组和实验组,每组100例.对照组患者进行利多卡因宫颈局麻,直接进行流产手术,实验组利多卡因宫颈局麻同时进行心理干预.比较2组患者的疼痛情况以及满意度等指标.结果 经过对应治疗后,实验组宫颈扩张满意度为93.0%显著高于对照组的87.0%,差异有统计学意义(P<0.05).实验组中Ⅱ级疼痛12例,Ⅰ级疼痛87例.对照组中Ⅱ级疼痛25例,Ⅰ级疼痛57例.对照组中出现Ⅱ级疼痛的患者显著多于实验组,Ⅰ级疼痛例数显著少于实验组,差异具有统计学意义(P<0.05).2组手术时间以及术中出血量比较差异无统计学意义.结论 在人工流产术中应用利多卡因宫颈局麻联合心理干预能够在很大程度上缓解患者的疼痛,提高治疗效果,具有临床进一步推广和应用价值.%Objective To study the effect of lidocaine combined with local anesthesia and psychological intervention in induced abortion.Methods200 cases of artificial abortion in our hospital from March 2015 to August 2016 were selected as the research object and randomly divided into control group and experimental group,with 100 cases in each group.The control group was treated with lidocaine for local anesthesia,direct abortion,and the experimental group was given lidocaine local anesthesia and psychological intervention.The pain and satisfaction index of the two groups were compared.ResultsAfter the treatment, the satisfaction rate of cervical dilatation in the experimental group was 93 cases was 93% higher than that in the control group, and the difference was statistically significant (P<0.05).The number of patients with grade Ⅱ pain in the experimental group was 12, and the number of patients with grade I pain was 87.In the control group, the number of patients with grade Ⅱ pain was 25, and the number of patients with grade Ⅱ pain was 57.But the control group was significantly lower than the experimental group, with statistical difference (P<0.05).In the control group, patients with grade Ⅱ pain were significantly higher than those in the experimental group, the number of patients with grade I pain was significantly less than that in the experimental group, and the difference was statistically significant (P<0.05).There was no significant difference in the operation time and blood loss between the control experimental and the control group.ConclusionThe application of lidocaine local anesthesia combined with psychological intervention can effectively relieve the pain of patients and improve the therapeutic effect.It has the value of clinical popularization and Application.