宫颈注射安定和利多卡因配合心理治疗在绝经妇女取环中的应用*(1)
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[摘要]目的 探讨宫颈注射安定和利多卡因配合心理治疗在绝经妇女取环中的应用效果。方法 绝经后要求取环的妇女共167例，其中采用宫颈注射安定和利多卡因配合心理治疗取环的100例为治疗组，采用传统常规的机械扩张宫颈法施行取环的67例为对照组，对两组的体征、手术时间、术中出血量、镇痛效果、取环成功率进行对比分析。结果 治疗组在体征、手术时间、术中出血量、镇痛效果及取环成功率方面均明显优于对照组，两组相比差异具有统计学意义(P<0.05)。结论 宫颈注射安定和利多卡因配合心理治疗在绝经妇女取环术中，可使宫颈松弛更佳，全身及局部镇静、镇痛更明显，患者高度配合，大大提高了取环成功率。
[关键词] 绝经妇女；宫颈注射安定和利多卡因；心理治疗；取环；镇痛
[中图分类号] R713.1 [文献标识码] B [文章编号] 1673-9701(2011)35-146-02
Cervical Stability and Lidocaine Injections Therapy in Postmenopausal Women with Intrauterine Application
LIANG Haiying
The Central Hospital of Leping Town of Sanshui District in Foshan City of Guangdong Province，Foshan 528137， China
[Abstract] Objective To research cervical injection lidocaine with stability and psychological therapy in postmenopausal women with psychological treatment for ring the application effect. Methods Postmenopausal women who took part required a total of 167 cases，included the cervical injection stability and lidocaine for ring with psychological therapy for the treatment of the group of 100 cases，the traditional conventional mechanical expansion of cervical method for ring of 67 cases control group，two groups women，signs，operative time，blood loss，analgesic effect，the success rate were analyzed. Results The signs，operation time，peri-operative bleeding and analgesic effect and the success rate of the treatment group was significantly better than the control group，there was statistically significant differences between two groups(P<0.05). Conclusion Stability and cervical lidocaine injection therapy in postmenopausal women with psychological treatment for ring intraoperative，can make the cervical relaxation is better，systemic and local sedation，analgesia is more obvious in patients with a high degree of cooperation， and greatly improve the success rate for ring.
[Key words] Postmenopausal women；Stability and cervical lidocaine injection；Psychotherapy；Take ring；Analgesia
宫内节育器(intrauterine device，IUD)因其具有经济、简便、安全、长效的特点，自1957年开始研制并临床使用后是国内育龄妇女普遍采用的一种避孕方法。当妇女进入更年期绝经后，卵巢已失去排卵功能，原来正常的子宫腔也渐渐闭锁，这时宫内的IUD已完成其避孕的任务，应该及时取出以免因机体生殖器官衰萎而引起一系列其他并发症。而绝经后妇女由于其内生殖器官萎缩变硬，弹性降低，以及IUD放置时间太长，从而使IUD取出难度明显增加 ......
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