利多卡因气雾剂用于绝经后妇女取环术中的临床效果观察  

Clinical observation on lidocaine aerosol used for intrauterine device removal in postmenopausal women

作　　者：顾媛媛 侯芬 GU Yuan-yuan;HOU Fen(Department of Obstetrics and Gynecology,Second Affiliated Hospital of Nanjing Medical University/Qixia District Maternal and Child Health Medical Institute,Nanjing 210028,China)

机构地区：[1]南京医科大学第二附属医院妇产科,南京市栖霞区妇幼保健医院,210028

出　　处：《中国实用医药》2022年第23期21-24,共4页China Practical Medicine

摘　　要：目的 观察利多卡因气雾剂宫颈表面麻醉用于绝经后妇女取环术中的效果。方法 120例行取环术的绝经后妇女为研究对象,随机分为观察组及对照组,每组60例。观察组使用利多卡因气雾剂进行麻醉,对照组使用利多卡因注射剂进行麻醉。比较两组视觉模拟评分法(VAS)评分、手术时间、术中出血量及麻醉后宫颈软化程度。结果 观察组置入窥器后及取环术后10 min的VAS评分分别为(2.00±0.71)、(1.30±0.64)分,与对照组的(1.90±0.77)、(1.35±0.73)分比较差异无统计学意义(P>0.05);观察组扩张宫颈时的VAS评分(3.80±0.93)分及扩张宫颈时和置入窥器后差值(1.80±0.81)分均显著低于对照组的(4.70±0.90)、(2.80±0.93)分,差异具有统计学意义(P<0.05)。观察组麻醉后宫颈软化程度显著优于对照组,差异具有统计学意义(P<0.05)。观察组手术时间(7.62±1.50)min短于对照组的(8.90±1.72)min,差异具有统计学意义(P<0.05);两组术中出血量比较差异无统计学意义(P>0.05)。结论 利多卡因气雾剂使用简便、安全,能够有效提高宫颈顺应性,促使宫颈软化、松弛,增加宫颈容受性,同时兼具阴道壁表面麻醉作用,使萎缩的阴道松弛变软,减轻疼痛效果更明显,利于手术操作,从而缩短了手术时间,适用于绝经后妇女取环术。Objective To observe the effect of lidocaine aerosol used for intrauterine device removal in postmenopausal women.Methods A total of 120 postmenopausal women who underwent intrauterine device removal were selected as the research subjects and were randomly divided into observation group and control group,with 60 cases in each group.The observation group was anesthetized with lidocaine aerosol,and the control group was anesthetized with lidocaine injection.The visual analogue scale(VAS)score,operation time,intraoperative blood loss and degree of cervical softening after anesthesia were compared between the two groups.Results The VAS scores after speculum placement and 10 min after intrauterine device removal of the observation group were(2.00±0.71)and(1.30±0.64)points,and the differences were not statistically significant compared with(1.90±0.77)and(1.35±0.73)points of the control group(P>0.05).The VAS score at cervical dilation(3.80±0.93)points and the difference between at cervical dilation and after speculum placement(1.80±0.81)points in the observation group were significantly lower than(4.70±0.90)and(2.80±0.93)points in the control group,and the differences were all statistically significant(P<0.05).The degree of cervical softening in the observation group after anesthesia was significantly better than that in the control group,and the difference was statistically significant(P<0.05).The operation time(7.62±1.50)min of the observation group was shorter than(8.90±1.72)min of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in intraoperative blood loss between the two groups(P>0.05).Conclusion Lidocaine aerosol is easy and safe to use.It can effectively improve the compliance of the cervix,promote the softening and relaxation of the cervix,and increase the receptivity of the cervix.Simultaneously,it also has the topical anesthetic effect on the surface of vaginal wall,which makes the atrophic vaginal wall relax and soften,and

关 键 词：利多卡因气雾剂 利多卡因注射剂 绝经后妇女 取环术 

分 类 号：R614[医药卫生—麻醉学]