宫颈旁阻滞麻醉在宫颈息肉电切术中的效果观察  

Effect observation of paracervical block anesthesia in transurethral resection of cervical polyps

作　　者：曲秀霞[1] 丁梦漪[2] 

机构地区：[1]山东省烟台市莱阳中心医院门诊手术室,265200 [2]复旦大学公共卫生学院

出　　处：《中国实用医药》2014年第2期23-24,共2页China Practical Medicine

摘　　要：目的探讨盐酸利多卡因宫颈旁神经阻滞麻醉在高频电刀切除宫颈息肉术中,减少患者痛苦及其术后复发率的效果。方法对高频电刀宫颈息肉电切90例患者手术前在宫颈黏膜与阴道黏膜交界处4、8点,注射盐酸利多卡因行宫颈旁神经阻滞麻醉,观察患者术中、术后的反应,作为观察组;另选90例术前不用麻醉,直接用高频电刀切除宫颈息肉作为对照组。结果观察组镇痛效果比较好,术后复发率少于对照组(P<0.01)。结论此方法在门诊手术室进行,不需住院,简单、安全、经济方便,可减少患者痛苦,有效预防宫颈息肉复发。Objective To investigate lidocaine effect of reducing the pain the patients suffer and their recurrence rate on hydrochloride paracervical nerve block anesthesia in high -frequency electric knife excision of cervical polyp surgery .Methods observation group： inject Lidocaine at the junction of 4,8 points between cervical mucosa and vaginal mucosa in 90 patients who undergo high-frequency electric knife transurethral resec-tion of cervical polyps before surgery , conduct paracervical nerve block anesthesia , observe reaction of patients with intraoperative and postoperative;control group：select 90 cases without anesthesia , use direct electrosurgi-cal excision of cervical polyp .Results The analgesic effect of observation group is better , the recurrence rate is lower than the control group （P＆lt;0.01）.Conclusion This method can be carried out in an outpatient oper-ating room, without the need of hospitalization .It is simple, safe, economical and convenient .It can reduce the suffering of patients and effectively prevent cervical polyp recurrence .

关 键 词：盐酸利多卡因 宫颈旁神经阻滞麻醉 高频电刀 宫颈息肉 

分 类 号：R614[医药卫生—麻醉学]