摘要
目的为减轻绝经后妇女取宫内节育器(IUD)时的痛苦和取宫内IUD的困难。用不同镇痛药配伍米索前列醇行无痛性取宫内IUD。方法四组共320例均在术前2～3h顿服米索前列醇(以下简称米索)0.6mg。A、B、C组术前30min分别肌注盐酸奈福泮、盐酸哌替啶、颅痛定;D组对照组不需加任何镇痛药。结果镇痛效果A、B两组总有效率为100%,C、D两组总有效率为50%,45%。结论A、B两组在绝经后取IUD镇痛效果好,又有肌纤维松弛作用。盐酸奈福泮,具有吗啡样效应,无吗啡的成瘾性,对于精神紧张的绝经后妇女要求无痛性取宫内IUD,效果甚好。
Objective TO evaluate the effect that use the different anodyne and dilatation medicine to reduce the pain and the difficulty of taking out IUD in matix for the Post-menopausal patient. Mothod Four groups all received Misoprostol 0.6mg p.o. only one time before2～3 hours of the second D＆C.A group is injected Pethidini before 15 minutes of the second D＆C;B group is injected Nefopam before 15 minutes of the second D＆C;C group is injected Rotumdine before 15 minutes of the second D＆C;D group didn, t inject any anodyne as the control group. Result The total effective rate of anodyne is 100% between A group and B group. The total effective rate of C＆D group is 50% and 45%.Conclusion The effect of muscle funicle loosenes and anodyne is great between A group and B group. Nefopam has Morphiass, s anodyne effect but not its addiction, lt is better to take out IUD without pain for the post-menpausal patients with intense emotion.
出处
《国际医药卫生导报》
2006年第3期46-48,共3页
International Medicine and Health Guidance News
