米索前列醇联合利多卡因用于绝经后妇女取宫内节育器的临床观察  

Clinical observation on application of misoprostol combined with lidocaine in IUD removal among climacteric women

作　　者：杨玲[1] 

机构地区：[1]德阳市中西医结合医院,四川德阳618000

出　　处：《现代医药卫生》2013年第1期47-48,共2页Journal of Modern Medicine & Health

摘　　要：目的观察米索前列醇联合利多卡因用于绝经后妇女取宫内节育器(IUD)的临床效果。方法将要求取IUD的绝经后妇女102例随机分为两组,观察组52例采用米索前列醇400μg阴道后穹隆放入4～6 h后取器,联合术中宫颈旁注射2%利多卡因4.0 mL;对照组50例只采用术中宫颈旁注射2%利多卡因4.0 mL后取器。观察两组宫颈软化扩张及取器效果等情况。结果观察组宫颈软化情况、取器难易程度均优于对照组,差异有统计学意义(P<0.05),观察组取器成功率为94.2%,对照组取器成功率为84.0%,差异无统计学意义(P>0.05)。结论米索前列醇联合利多卡因用于绝经后妇女取IUD可使宫颈明显软化扩张,减少受术者痛苦,提高取器成功率,有效而安全。Objective To observe the clinical effect of misoprostol combined with lidocaine used in removal of intrauterine device（IUD） among climacteric women.Methods 102 climacteric women requesting IUD removal were randomly divided into two groups.The observation group（52 cases） was performed the IUD removal after 4-6 h of putting misoprostol 400 μg at posterior vaginal fornix and combined with intraoperative paracervical injection of 2% lidocaine 4.0 mL.The control group（50 cases） adopted the IUD removal only after intraoperative paracervical injection of 2% lidocaine 4.0 mL.To observe the softening and dilatation of cervix and the effect of IUD removal in both groups.Results In the observation group,the softening of cervix and the difficult degrees of IUD removal were superior to the control group,difference showing statistical significance（P0.05）.The success rate of IUD removal was 94.2% in the observation group,while 84.0% in the comparison group,without statistical difference（P0.05）.Conclusion Application of misoprostol combined with lidocaine in the IUD removal in climacteric women can evidently soften and dilate the cervix,relieve the patient′s pain and increase the success rate of the IUD removal.Therefore,this method is effective and safe.

关 键 词：米索前列醇 利多卡因 妇女 绝经后期 宫内避孕器排出 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]