许艳茹,沈娟娟,段莉华.阿替卡因肾上腺素注射液在宫颈LEEP环形电切术中的应用价值.[J].中南医学科学杂志.,2018,(6):635-638.
阿替卡因肾上腺素注射液在宫颈LEEP环形电切术中的应用价值
Application value of Articaine Hydrochloride and Epinephrine Tartrate Injection in cervical LEEP loop electrosurgical excision procedure
投稿时间:2018-08-28  修订日期:2018-09-20
DOI:10.15972/j.cnki.43-1509/r.2018.06.020
中文关键词:  阿替卡因肾上腺素注射液  宫颈LEEP环形电切术  止血  麻醉镇痛  伤口愈合
英文关键词:Articaine Hydrochloride and Epinephrine Tartrate Injection  cervical LEEP  hemostasis  narcotic analgesia  wound healing
基金项目:
作者单位
许艳茹 新疆医科大学第二附属医院妇产科,新疆 乌鲁木齐,830028 
沈娟娟 新疆医科大学第二附属医院妇产科,新疆 乌鲁木齐,830028 
段莉华 新疆医科大学第二附属医院妇产科,新疆 乌鲁木齐,830028 
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中文摘要:
      探讨在宫颈LEEP环形电切术中,阿替卡因肾上腺素注射液作用时长与麻醉止血镇痛作用的关系及安全性。回顾性分析我院妇产科确诊收治的宫颈上皮内瘤变(CINI-II)患者120例患者临床资料,采用单盲法随机将患者分为0~30秒组、30~60秒组、60~90秒组、90~120秒组、120~150秒组、150~180秒组共6小组。观察统计并比较6组患者临床止血与麻醉镇痛效果,并对用药后不良反应情况进行比较。在宫颈LEEP环形电切术中,用药阿替卡因肾上腺素注射液120~180秒后再行LEEP术具有较好的术中止血与麻醉镇痛效果,对于该类药物的临床应用具有借鉴价值。
英文摘要:
      To explore the relationship and safety between the duration of actetracaine adrenergic injection and the analgesic effect of anaesthesia in the operation of cervical LEEP loop electrotomy. The clinical data of 120 patients with cervical intraepithelial neoplasia (CINI II) diagnosed and treated in the department of obstetrics and gynecology of our hospital were retrospectively analyzed. The patients were randomly divided into 0-30 second group, 30-60 second group, 60-90 second group, 90-120 second group, 120-150 second group and 150-180 second group by single blind method. Observe and compare the clinical effects of hemostasis and analgesia in 6 groups, and compare the adverse reactions after administration. LEEP injection after 120-180 seconds has good intraoperative hemostasis and analgesic effect in the operation of cervical LEEP loop electrotomy, which has reference value for the clinical application of this drug.
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