宫旁神经阻滞在人工流产手术中的应用  

Application of Paracervical Block to Artificial Abortion

作　　者：吴洪翔[1] 钟颖[1] 范大梁 梁少玲[2] 

机构地区：[1]昆明医学院麻醉科 [2]昆明医学院妇产科

出　　处：《昆明医学院学报》1993年第1期55-57,共3页Journal of Kunming Medical College

摘　　要：本组30例病人,均为早孕非经产妇女。於宫颈旁侧穹窿相当于钟面3点与4点间,和8点与9点间各注入1％利多卡因10ml行宫旁神经阻滞。于麻醉前,麻醉后3分钟和20分钟给宫颈管电刺激。结果发现阻滞后3分钟和20分钟时,病人对电刺激感到疼病时的电压明显升高,与麻醉前相比有高度显著性的差异(P<0.01)。所测电压值的变化与病人对疼痛的反应变化一致。这说明宫旁阻滞是一种操作简便、安全、效果良好的方法,对于开展无痛性人流有推广的价值。The effect of paracervical block in 30 nulliparas undergoing artificial abortion were com- pared. An electric stimulation was given to the cervix five minutes before anesthesia, three and twenty minutes after anesthesia. The value of stimulant voltages was recorded when patients felt pain. The pain threshold increased from 63.63 ± 18.26 volts of preanesthesia to 110.80± 17.27 volts of 3 minutes after paracervical block (P < 0.01) and 114.70± 7.25 volts of 20 min- utes after paracervical block (P < 0.01). The study shows that paracervical block is safe, effective and easy to perfom for artificial abortion.

关 键 词：宫旁神经阻滞 人工流产 麻醉 

分 类 号：R719.3[医药卫生—妇产科学]