盐酸丁卡因胶浆麻醉联合硅胶棒用于绝经后妇女取器的效果

发布时间：2018-01-06 19:20

本文关键词：盐酸丁卡因胶浆麻醉联合硅胶棒用于绝经后妇女取器的效果　出处：《中国乡村医药》2016年15期 　论文类型：期刊论文

【摘要】：目的观察盐酸丁卡因胶浆麻醉联合硅胶棒在绝经后妇女宫内节育器(IUD)取出术中的应用效果。方法该院自愿要求取IUD(取器)的绝经后妇女100例,病历资料均完整,其中常规硅胶棒取器50例(设为对照组),盐酸丁卡因胶浆麻醉联合硅胶棒取器50例(设为联合组),回顾性对照分析两组取器时的宫颈松弛情况、疼痛程度、出血量、取环效果。结果联合组宫颈松弛度满意48例(96.0%),疼痛轻或无45例(90.0%),出血量少48例(96.0%),取器顺利46例(92.0%),优于对照组82.0%(41/50)的宫颈松弛满意率、68.0%(34/50)的轻或无疼痛率、80.0%(40/50)少量出血率和72.0%(36/50)的取器顺利率。结论绝经后妇女取器时使用盐酸丁卡因胶浆麻醉联合硅胶棒能达到较好的软化宫颈作用,减轻扩宫时的疼痛,减少术中出血量,增加顺利取器率。
[Abstract]:Objective To observe the effect of Tetracaine Hydrochloride Jelly anesthesia combined with silica gel stick in postmenopausal women with intrauterine device (IUD) removal surgery. Methods the voluntary IUD (extraction) in postmenopausal women in 100 cases, medical records were complete, the conventional rod for 50 cases (control group), Tetracaine Hydrochloride Jelly anesthesia the joint rod takes 50 cases (a combined group), were retrospectively analyzed in the two groups for the degree of cervical relaxation, pain, bleeding, ring effect. Results in the combined group, cervical relaxation degree of satisfaction in 48 cases (96%), 45 cases of mild or no pain (90%), the amount of bleeding 48 cases (96%), and 46 cases (92%) is smooth, better than the control group 82% (41/50) of the cervical relaxation satisfaction rate, 68% (34/50) of mild or no pain rate, bleeding rate of 80% (40/50) and 72% (36/50) of the removal rate. Conclusion CIS in postmenopausal women using hydrochloric acid when the removal of tetracaine gel The combination of plasma anesthesia and silica gel rod can achieve better function of softening the cervix, alleviating the pain during the expansion of the uterus, reducing the amount of bleeding during the operation, and increasing the rate of the successful extractor.

【作者单位】：银川市妇幼保健院妇科;
【分类号】：R713
【正文快照】： 宫内节育器(IUD)是我国妇女使用的最主要的避孕方法。绝经后取出宫内节育器(取器)发生取器困难的危险度高于其他时机取器3.3倍,宫颈萎缩是绝经后取器困难的主要因素[1]。硅胶棒有扩张宫颈作用,但对宫颈萎缩明显的妇女,插入困难。我院采用盐酸丁卡因胶浆麻醉联合硅胶棒用于绝经

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