小剂量卡孕栓在无痛人工流产终止早孕中临床应用分析.docVIP

小剂量卡孕栓在无痛人工流产终止早孕中临床应用分析 　　[摘要] 目的 探究小剂量卡孕栓在无痛人工流产终止早孕中的临床疗效。方法 方便选取该院2017年1―7月自愿流产的早孕健康患者160例，随机分为观察组（84例）和对照组（76例）。对照组进行无痛人流术，观察组在无痛人流术的基础上应用卡孕栓，观察两组患者术后宫颈松弛程度、手术时间、术中出血量及术后48 h腹痛发生情况。结果 观察组5号扩宫器应用通过率为97.62%；对照组5号扩宫器应用通过率为72.05%，观察组通过率大于对照组，差异有统计学意义（P0.05）；观察组出血量为（16.5±3.4）mL，对照组出血量（22.8±4.3）mL，对照组出血量大于观察组，差异有统计学意义（P0.05）；两组手术时间相比：观察组手术时间为（5.5±1.4）min，对照组手术时间（9.5±4.3）min，对照组手术时间大于观察组，差异有统计学意义（P0.05）；两组术后腹痛发生例数相比：对照组手术后48 h腹痛例数大于观察组，差异有统计学意义（P0.05）。结论 小剂量卡孕栓在无痛人工流产中可以有效松弛子宫颈，促进了手术顺利进行，临床获益大，值得推广。 　　[关键词] 卡孕栓；无痛人工流产；临床应用 　　[中图分类号] R74.21 [文献标识码] A [文章编号] 1674-0742（2017）12（b）-0150-03 　　[Abstract] Objective To study the clinical curative effect of small-dose carboprost in ending the early pregnancy in the painless induced abortion. Methods 160 cases of healthy early pregnant patients with voluntary abortion in our hospital were conveniently selected and randomly divided into two groups， from January to July 2017 the control group with 76 cases were treated with painless induced abortion， while the observation group with 84 case applied the carboprost on the basis of the painless induced abortion， and the postoperative cervical relaxation degree， operation time， intraoperative bleeding amount and occurrence of postoperative 48 h abdominal pain of the two groups were observed. Results The application pass rate of No. 5 diffuser in the observation group was higher than that in the control group， （97.62% vs 72.05%）（P0.05）， and the difference was statistically significant， and the bleeding amount in the control group was higher than that in the observation group[（22.8±4.3）mL vs （16.5±3.4）mL]， and the difference was statistically significant（P0.05）， and the operation time in the control group was higher than that in the observation group， [（9.5±4.3）min vs （5.5±1.4）min]， and the difference was statistically significant（P0.05）， and the occurrence case of postoperative 48 h abdominal pain in the control group was higher than that in the observation group， and the differen