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舌下含化米索前列醇在无痛人流中应用 被引量:1

Application of Sublingual Misoprostol in Painless Abortion
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摘要 目的对舌下含化米索前列腺在无痛人流中的应用进行探析。方法选自2016年1月-2018年5月期间在该院准备进行无痛人流手术患者65例作为该次对照组,同期另抽取65例患者作为治疗组,其中对照组采取(米索前列醇),治疗组采取(常规无痛人流术),观察与比较两组患者术中总出血量、手术时间、术后子宫恢复效果和流血时间以及临床宫颈软化有效率情况。结果治疗组患者的总出血量为(14.1±3.4)mL、手术时间(2.23±1.64)min、术后子宫恢复情况(1.8±0.7)cm、术后流血时间(7.1±1.2)d,均优于对照组患者的总出血量(25.2±5.5)mL、手术时间(12.2±1.75)min、术后子宫恢复情况(1.3±0.8)cm、术后流血时间(10.2±3.3)d,组间差异有统计学意义(t=13.325、10.622、5.326、12.325,P<0.05);治疗组患者宫颈软化的总有效率为98.46%(64/65),明显高于对照组患者的宫颈软化总有效率86.15(56/32)%,两组进行比较,差异有统计学意义(χ^2=8.985,P<0.05)。结论无痛人流前采取舌下含化米索前列醇的临床效果显著,有效提高宫颈软化度,进一步减少并发症,值得临床推广。 Objective To investigate the application of sublingual misoprostol in painless abortion. Methods Selected from 65 patients who underwent painless abortion in our hospital from January 2016 to May 2018 as the control group. In the same period, 65 patients were selected as the treatment group, and the control group was treated with misoprostol. The treatment group(routine painless abortion) was used to observe and compare the total intraoperative blood loss, operation time, postoperative uterine recovery and bleeding time, and clinical cervical softening efficiency. Results The total amount of bleeding in the treatment group was(14.1 ±3.4)mL, operation time(2.23±1.64) min, postoperative uterine recovery(1.8±0.7) cm, postoperative bleeding time(7.1±1.2) d, excellent total amount of bleeding in the control group(25.2±5.5) mL, operation time(12.2±1.75) min, postoperative uterine recovery(1.3±0.8) cm, postoperative bleeding time(10.2±3.3) d, difference between groups was statistically significant(t=13.325, 10.622, 5.326, 12.325, P<0.05);the total effective rate of cervical softening in the treatment group was 98.46%(64/65), which was significantly higher than the total effective rate of cervical softening in the control group 86.15%(56/65), the two groups were compared, there was statistically significant difference(χ~2=8.985, P<0.05), which was statistically significant. Conclusion The clinical effect of sublingual misoprostol is significant before painless abortion, which can effectively improve cervical softness and further reduce complications. It is worthy of clinical promotion.
作者 张晓改 ZHANG Xiao-gai(Department of Gynecology, Guanyun County People's Hospital, Lianyungang, Jiangsu Province, 222200 China)
出处 《世界复合医学》 2019年第6期79-80,153,共3页 World Journal of Complex Medicine
关键词 米索前列醇 无痛人流 应用 Misoprostol Painless flow Application
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