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目的为了减轻绝经后期妇女取环术的痛苦,降低机械性损伤发生,了解运用药物后再行取环术的临床疗效。方法选择2013年3月—2014年2月来门诊取环的绝经后妇女共76例,随机分成两组,观察组38例,取环术前7~10 d给予口服尼尔雌醇2 mg/次,宫颈2点、8点注射利多卡因2 ml,改善宫颈条件后再行取环术。对照组38例取环前未用任何药物。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果观察组宫颈软化、术中自觉轻度症状、取环顺利、取环时间[30、32、33例、(3.12±3.98)min]均优于对照组[14、10、21例、(6.42±6.31)min],差异均有统计学意义(均P<0.05)。结论尼尔雌醇联合利多卡因可有效扩张宫颈,减少损伤的发生,临床有推广价值。
Objective In order to reduce the postmenopausal women taking epicanthus pain, reduce the occurrence of mechanical injury, understand the use of drugs and then take the clinical effect of loop. Methods A total of 76 postmenopausal women from March 2013 to February 2014 were enrolled in this study. They were randomly divided into two groups: observation group (n = 38) and oral nallesol 2 mg / Times, cervix 2:00, 8:00 injection of lidocaine 2 ml, to improve cervical conditions and then take the ring. 38 cases of control group before taking the ring without any drugs. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results In the observation group, cervical softening, mild intraoperative self-consciousness, smooth circulation and withdrawal time were superior to those in the control group [30, 32, 33, (3.12 ± 3.98) min [14, 10, ± 6.31) min], the difference was statistically significant (all P <0.05). Conclusion Nilestriol combined with lidocaine can effectively expand the cervix and reduce the incidence of injury, the clinical value of popularization.