Ujah I A, Mutihir J T
Department of Obstetrics and Gynaecology, Faculty of Medical Sciences, University of Jos, Nigeria.
East Afr Med J. 1998 Mar;75(3):139-41.
The reduction of anxiety and control of pain in 1,546 clients undergoing voluntary surgical contraception (VSC) is presented. Psychological support through adequate counselling and abdominal breathing exercises are vital. General anaesthesia was used in 254 (16.4%) of the clients; sedation plus local anaesthetic agents in 296 (19.2%) while local anaesthetic alone was used in 996 (64.4%) of clients. There was progressive shift from the use of general anaesthesia (GA) to local anaesthesia (LA), particularly for the minilaparotomy procedure following the introduction of Association for Voluntary Surgical Contraception (AVSC) programme in our department since this type of anaesthesia was cheap, safe, affordable and readily available. Recommendations for successful VSC techniques include gentle tissue handling, proper use of the correct instruments to reduce painful stimuli, while low dose intravenous sedation should be used only when necessary. Minilaparotomy under local anaesthesia (ML/LA) has been successfully established in Jos University Teaching Hospital, Jos, Nigeria.
本文介绍了1546例接受自愿性手术避孕（VSC）的患者焦虑情绪的减轻和疼痛的控制情况。通过充分的咨询和腹部呼吸练习提供心理支持至关重要。254例（16.4%）患者使用全身麻醉；296例（19.2%）患者使用镇静剂加局部麻醉剂，而996例（64.4%）患者仅使用局部麻醉。从全身麻醉（GA）到局部麻醉（LA）的使用有逐渐转变的趋势，特别是在我们科室引入自愿性手术避孕协会（AVSC）项目后，对于小切口剖腹术而言，因为这种麻醉方式便宜、安全、可负担且容易获得。成功的VSC技术建议包括轻柔地处理组织，正确使用合适的器械以减少疼痛刺激，而低剂量静脉镇静仅在必要时使用。尼日利亚乔斯大学教学医院已成功开展了局部麻醉下的小切口剖腹术（ML/LA）。
