Carbonated lidocaine to prevent abortion Syndrome

Carbonated lidocaine to prevent abortion Syndrome Carbonated lidocaine to prevent abortion Syndrome [Abstract] Objective To observe the carbonated lidocaine for the prevention of abortion syndrome. Method from December 2006 to July 2008, the number of abortions in our hospital a total of 451 patients, intraoperative lidocaine carbonate comprehensive abortion prevention sign. results are only 4 cases of nausea, vomiting, pale, but the symptoms were mild, were not found in blood pressure, syncope, cramps and other symptoms. Conclusion lidocaine carbonate not only the uterine smooth muscle relaxation, but also blocked the kinds of nerve impulse conduction, thus reducing the incidence of abortion syndrome, is in a good way abortion has greatly enhanced the acceptability of abortion. [Keywords:] carbonated lidocaine, abortion syndrome Abortion after contraceptive failure is a remedy is a safe method for termination of early pregnancy with high success rates, are generally well tolerated by patients, but often because of pain caused by abortion stress syndrome, by the surgeon during surgery or postoperative nausea, vomiting, paleness, cold sweats, dizziness, chest tightness, blood 1 pressure, heart rate, slow, or even a series of symptoms such as syncope and convulsions. In order to reduce its incidence, our hospital carbonated lidocaine for prevention The clinical effects reported as follows. 1 Subjects and methods 1.1 The object of study from December 2006 to July 2008 in our clinic from the line of women diagnosed with early pregnancy were 451 cases of abortion, of which 62 cases of primiparous women, by producing 389 cases of pregnant women, aged 21 to 45 years old, pregnancy 6 to 8 weeks, good health, with no contraindication for abortion. 1.2 Methods of bladder lithotomy position, after routine disinfection of the vulva vagina, 5 ml syringe with carbonated lidocaine 1 ml, after dilution with water for injection, 4 ml, were injected into the paracervical 3,12,9,6 point Withdrawing no blood, all parts into 1 ml, 2 min and then stay surgery. carbonated lidocaine injection from Sichuan Pharmaceutical Co., Ltd., Jiangsu Province, economic production, formulation: 10 ml / sticks, 0.173 g. Links to free paper download 2 Results 2 December 2006 to July 2008, conducted in our clinic from 451 cases of induced abortion, occurred only in 4 cases of induced abortion syndrome, mild symptoms in 3 cases, only a sense of nausea and vomiting, 1 patient was pale, the cold sweat, heart rate. but found no blood pressure, fainting, convulsions and other symptoms. 3 Discussion Since abortion is simple, short operation time, narcotic analgesia is not used more than ever, by the surgeon intraoperative pain significantly, abortion syndrome occurred, to the physical and mental suffering caused by the surgeon, is generally believed that the incidence of abortion syndrome is the expansion Palace, Palace and suction curettage, the cervix and uterus receive mechanical stimulation of vagus nerve stimulation caused by stimulation of vagus nerve can release a large number of acetylcholine, acetylcholine can make coronary artery spasm, myocardial blood supply reduction that may cause the feeling of panic, can inhibit The excitement caused sinus bradycardia, arrhythmia, and even cardiac arrest, decreased myocardial contractility, reduced cardiac output, peripheral vasodilatation, lack of effective blood volume, resulting in tissue hypoxia, a transient shock occurs , cerebral 3 insufficiency, there may be dizziness, convulsions and even coma, vagus nerve can enhance gastrointestinal motility, or smooth muscle spasm caused by nausea and vomiting. Carbonated lidocaine with the role of cervical relaxation, so that the rapid expansion of the cervix, avoiding the expansion Palace mechanical stimulation, but also to uterine smooth muscle relaxation, blocking a variety of nerve impulse conduction, inhibition of pain and touch first , tenderness only by the surgeon, eliminating the tension and fear in patients, making the operation to proceed smoothly, thus reducing the incidence of abortion syndrome. After the clinical application of lidocaine carbonate from observation, to reduce the incidence of abortion syndrome, psychological counseling before surgery should do the work, the transfer of attention by the surgeon to lift the fear of psychological tension, and actively cooperate with doctors, patients should move gentle expansion cervix should be small to large, step by step, and appropriate negative pressure, the use of lidocaine carbonate cervical injection, mechanical stimulation and reduced the sensitivity of uterine wall, reducing the excitability of the vagus nerve, which can greatly reduce by patients who pain and improve the acceptability of 4 abortion. Links to free paper download 5