异丙酚配伍米索前列醇用于瘢痕子宫无痛人流的临床观察.pdfVIP

·临床研究· 2011 年2 月第49 卷第6 期 异丙酚配伍米索前列醇用于瘢痕子宫无痛人流的临床观察 张 敏 （浙江省临安市於潜人民医院妇产科，浙江临安311311） [摘要] 目的观察异丙酚配伍米索前列醇用于瘢痕子宫无痛人流的治疗效果，观察相关临床指标。方法 收集130 例瘢痕子 宫无痛人流患者，随机分为两组，观察组67 例，应用异丙酚配伍米索前列醇进行人工流产术，对照组63 例，单纯应用异丙 酚人工流产术，观察两组患者相关临床指标及术后生活质量的差别。结果 观察组宫颈松弛率明显高于对照组，人流综合征 的发生率明显低于对照组，患者手术时间明显短于对照组，出血量明显少于对照组，异丙酚的用量明显少于对照组。观察组 术后随访生活质量明显高于对照组。结论 异丙酚配伍米索前列醇用于瘢痕子宫无痛人工流产，临床效果明显，且能改善患 者的生活质量，临床中可以应用。 [关键词] 米索前列醇；异丙酚；瘢痕子宫；生活质量；人工流产 [中图分类号] R715.2 [文献标识码] A [文章编号] 1673- 9701 （2011）06- 44- 02 The Clinical Obser vat ion of Painless Art ificial Abor t ion by Propofol and Misopr ost ol in Pat ient s wit h Scar r ed Ut erus ZHANG Min Yuqian Peoples Hospital of Linan County，Zhejiang Province ，Linan 311311 ，China [Abst ract ] Object ive To study the curative effect of painless artificial abortion by propofol and misoprostol in patients with scarred uterus ，observe the correlated clinical characteristic. Met hods There were 130 cases were divided into two groups. The observation group （67 cases）carried out abortion by propofol and misoprostol. The control group （63 cases）carried out abortion by propofol. The correlated characteristic and life quality were analyzed in the two groups. Result s The rate of cervical relaxation were higher in the observation group than in the contorl group. The rate of artificial abortion syndrome were lower in the observation group than in the control group. The operative time were shorter in the observation group than in the control group. The blood loss and dose of propofol were less in the observation group than in the control group. The life quality were higher in the observation group than in the control group. Conclusion