Donati S, Medda E, Proietti S, Rizzo L, Spinelli A, Subrizi D, Grandolfo M E
Department of Epidemiology and Biostatistics, Istituto Superíore di Sanità, Rome, Italy.
Eur J Obstet Gynecol Reprod Biol. 1996 Dec 27;70(2):145-9. doi: 10.1016/s0301-2115(95)02583-9.
The study aimed to estimate the pain related to first trimester abortion under local and general anaesthesia. One hundred and eighty-one women undergoing abortion of first trimester under local anaesthesia and 198 under general anaesthesia were interviewed 1 h after the end of the procedure. About 50% of all women described their experience as less painful than expected. Over 50% of the women described the pain during the procedure as mild or moderate according to the verbal rating scale. The step-up logistic regression analyses identified four important variables: time interval less than 2 min from local anaesthesia injection to the beginning of the procedure (RR = 3), lack of choice between local and general anaesthesia (RR = 1.9), history of frequent use of analgesics (RR = 1.9) and nulliparity (RR = 1.7). These data indicate that skillfully performed abortion with local anaesthesia is a procedure tolerated by most women. Moreover, because it carries lower risk of complications and costs less, its use should be encouraged.
该研究旨在评估局部麻醉和全身麻醉下早期妊娠流产相关的疼痛情况。在手术结束1小时后，对181名接受局部麻醉的早期妊娠流产妇女和198名接受全身麻醉的妇女进行了访谈。约50%的妇女表示她们的经历比预期的疼痛程度轻。根据言语评定量表，超过50%的妇女将手术过程中的疼痛描述为轻度或中度。逐步逻辑回归分析确定了四个重要变量：从局部麻醉注射到手术开始的时间间隔少于2分钟（相对危险度=3）、在局部麻醉和全身麻醉之间没有选择（相对危险度=1.9）、频繁使用镇痛药史（相对危险度=1.9）和未生育（相对危险度=1.7）。这些数据表明，熟练实施的局部麻醉下的流产手术是大多数妇女能够耐受的手术。此外，由于其并发症风险较低且成本较低，应鼓励使用。
