米索前列醇用于无痛人流临床对比观察.docVIP

米索前列醇用于无痛人流临床对比观察 　　 　　[摘要] 目的 探讨米索前列醇置阴无痛人流术的扩宫情况、手术时间及术后1个月宫颈黏膜损伤情况。方法 将500例自愿接受无痛人流者随机分为两组：用药组250例术前2h米索0.2mg置阴；对照组250例只在快速静脉麻醉下行无痛人流。结果 两组之间宫颈扩张情况有高度显著性差异（P＜0.01），手术时间比较也有高度的显著性差异（P＜0.01），术后1个月宫颈黏膜观察比较，宫颈慢性炎症和宫颈糜烂有显著差异（P＜0.05），除此之外腺体囊肿和宫颈肥大也有加重和增多的趋势。结论 术前米索置阴结合无痛人流能使患者解除心理障碍、缩短手术时间、减少术中出血和预防人流综合征、减少和避免宫颈黏膜的刺激和损伤，是对女性人流不良影响最小的最佳手术方案。 　　[关键词] 人工流产；米索前列醇；宫颈糜烂；宫颈慢性炎症 　　[中图分类号] R711 [文献标识码] B [文章编号] 1673-9701（2011）34-134-02 　　 　　Misoprostol for Painless Artificial Abortion：A Comparative Observation 　　JIN Shanji1 TAI Shenghua1 LI Dianzhu2 YANG Ning2 LI Bo2 　　1.Department of Obstetrics and Gynecology,Yanbian Mother and Child Health Hospital，Yanji 133000，China；2.Department of Obstetrics and Gynecology, Yanji Xiantong Hospital，Yanji 133000, China 　　 　　[Abstract] Objective To discuss on the combination of misoprostol in painless induced abortion vaginal dilation, operation time and postoperative one month cervical mucosa injury observation comparison. Methods In 500 cases of voluntary acceptance of painless were randomly divided into two groups, treatment group : 250 patients preoperatively and at 2 hour meters cable 0.2mg the yin. Control group: 250 cases only in intravenous anesthesia in painless induced abortion. Results Between the two groups of cervical dilatation there was significant difference （P＜0.01）,so does operation time, （P＜0.01）, one month after cervical mucosa were observed and compared, chronic cervicitis and cervical erosion had significant difference （P＜0.05）, besides gland cyst and cervical hypertrophy there was also increased and a growing trend. Conclusion Preoperative meters cable home Yin combined analgesia stream of people, can make the patients relieve psychological pain, shorten operation time, reduce intraoperative bleeding and the prevention of abortion syndrome, reduce and avoid the cervical mucous membrane irritation and injury, is a female passenger adverse effects the smallest optimal operation scheme. 　　[Key words] Artificial