294例人工流产患者术后宫腔粘连预防临床效果.docVIP

294例人工流产患者术后宫腔粘连预防临床效果 　　[摘要]目的 探讨和分析透明质酸钠在预防人流手术后发生宫腔粘连状况的临床应用效果。方法 选取该院2013年2月―2014年1月收治的人流手术孕妇共588例作为研究对象，按随机原则，平均分为实验组和对照组各为294例孕妇。在人流术术后，对照组孕妇常规给予抗生素来预防感染，对于实验组孕妇则子宫腔内注入1%的透明质酸钠注射液来预防感染，然后对比实验组和对照组两组孕妇手术后的阴道流血时间、月经复潮时间以及宫腔粘连的发生率。结果 经过不同的处理方法，实验组患者阴道流血持续和月经复潮时间分别为（4.54±1.26）d和（24. 76±3. 55）d，明显低于对照组患者，该两组患者的阴道流血持续和月经复潮时间对比，差异有统计学意义（P0.05）；经3个月后复检，实验组的宫腔粘连发生率为1.02%，明显低于对照组患者（14例，4.76%），该两组患者的宫腔粘连发生率对比，差异有统计学意义（χ2=7.039， P0.05）；该两组患者手术过程中和术后均未有大出血和感染等情况发生。结论 在人流手术后，患者宫腔给予透明质酸钠注射液，可非常有效地预防宫腔粘连现象的发生，不但方法简单，而且无不良作用，非常值得临床推广。 　　[关键词] 人流手术；宫腔粘连；透明质酸钠 　　[中图分类号] R [文献标识码] A [文章编号] 1674-0742（2015）01（c）-0032-02 　　[Abstract] Objective To explore the clinical application and analysis of effect of sodium hyaluronate occurs in the prevention of intrauterine adhesions after operation of stream of people of the state. Pregnant women abortion operation methods in our hospital in 2013 February to 2014 January were 588 cases as the research object， randomly， divided into experimental group and control group of 294 cases of pregnant women. In the stream of people surgery， pregnant women in the control group given conventional antibiotics to prevent infection， for the experimental group of pregnant women is uterine cavity injection with sodium hyaluronate injection 1% to prevent infection， and then compared the experimental group and the control group of two pregnant women after vaginal bleeding， operation time menses time and the incidence of intrauterine adhesions. Results after different treatment methods， the patients in the experimental group were vaginal bleeding continued and menses time were （4.54 + 1.26） D and （24.76 + 3.55） d， significantly lower than the patients in the control group， the two groups of patients with vaginal bleeding duration and menses time comparison， with statistical difference （Plt； 0.05）； after 3 months after the re examination， uterine cavity adhesion experiment group the incidence rate was 1.02%， significantly lower than the patients in the c