Misoprostol for painless Efficacy of flow-clamp curettage.doc

 PAGE \* MERGEFORMAT 4 Misoprostol for painless Efficacy of flow-clamp curettage [Keywords:] painless curettage abortion forceps propofol fentanyl hydrochloride, misoprostol Misoprostol has been widely used in clinical, propofol plus hydrochloric acid phenol intravenous anesthesia painless too Niger abortion also has a good clinical analgesic effect. But when the 10 ~ 14 weeks of pregnancy, especially in the poor conditions of the cervix (cervical tough, early pregnancy), the expansion Palace difficulties, the operation more difficult, barely operation can lead to involuntary patients under anesthesia to twist the body, uterus perforation, cervical laceration hazard. At the same time, due to poor cervical dilatation, large organizations, clip out the difficulties and to extend the operation time, blood loss increased. In this regard, the author uses painless curettage abortion forceps before I sublingual misoprostol, better effect, the report is as follows. A clinical data Select from 2006 to 2008 in our clinic due to various factors, abortion missed the best time to require induced abortion to terminate pregnancy, gestational age 10 to 14 weeks of pregnancy pregnant women, 100 cases, 50 cases were randomly divided into two groups , aged 18 to 38 years old, with an average 26.2 years old, weighing 40 ~ 60kg, pregnant sub 0 ~ 4 times, accounting for 49.6% of pregnant women in early. The control group of 50 patients, aged 18 to 39 years, mean 24.9 years old, weighing 40 ~ 60kg, pregnant sub 0 ~ 4 times, accounting for 50.8% of pregnant women in early. 2 Methods The observation group preoperative forbidden to drink, fasting 6 hours, preoperative sublingual misoprostol tablets 600μ g (including drug into the observation room after the patient observation). Surgery to take the bladder lithotomy position, routine disinfection of shop towels, establish intravenous access, the slow intravenous injection of propofol 1mg/kg, fentanyl 1μ g/kg. Onset of anesthesia af