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目的:探讨高乌甲素及宫术安栓单用或联合应用在人流术中镇痛及扩张宫颈的有效性。方法:将397例早孕要求无痛人流的受术者随机分成3组。Ⅰ组:132例,术前30 min臀部肌注高乌甲素8 mg;Ⅱ组:131例,术前30 min肛门置入宫术安栓0.4 g;Ⅲ组:134例,术前30 min同时肌注高乌甲素8 mg及肛门置入宫术安栓0.4 g。比较3组患者术中镇痛效果、宫颈扩张程度及人流综合反应发生率。结果:联合用药组优于单一用药组。结论:高乌甲素联合宫术安栓,镇痛效果好,宫颈扩张好,简单、安全、可靠,有效的降低了人流综合反应的发生率。
Objective: To investigate the effectiveness of lappaconitine and Gongsuan’an suppository alone or in combination in analgesia and dilatation of cervix in abortion. Methods: 397 cases of early pregnancy requiring painless surgery were randomly divided into three groups. In group Ⅰ, 132 cases were injected intramuscular injection of lappaconitine 8 mg intraperitoneally 30 min before operation, 131 cases in group Ⅱ were treated with Gong Shuan suppository 0.4 mm in anus 30 min before operation, and 134 cases in group Ⅲ 30 min before operation At the same time, intramuscular injection of lappaconitine 8 mg and anal suppositories 0.4g. The analgesic effect, the degree of cervical dilatation and the incidence of comprehensive abortion were compared between the three groups. Results: Combination group was better than single group. Conclusions: Lappaconitine combined with Gongshuan’an suppository has good analgesic effect and good cervical dilatation, which is simple, safe, reliable and effective in reducing the incidence of comprehensive reaction of human flow.