欧维婷软膏联合米索前列醇用于绝经后妇女取环临床分析.docVIP

欧维婷软膏联合米索前列醇用于绝经后妇女取环临床分析 　　[摘要] 目的 探析?W维婷软膏联合米索前列醇用于绝经后妇女取环的临床效果。方法 方便选取该院2014年3月―2016年12月期间收治的116例绝经后妇女取环患者，将其随机分为研究组和对照组，各为58例，对照组仅术前4 h米索前列醇600 μg置于阴道后穹窿，研究组在对照组的基础上取环前5 d开始每晚阴道用欧维婷软膏0.5 g，比较两组患者宫颈软化程度、取环成功率、取出时间、出血量等。结果 研究组软化率84.48%与对照组12.07%比较差异有统计学意义（P0.05）；研究组取环时间（5.3±1.2）min、出血量（4.2±1.1）mL与对照组比较差异有统计学意义（P0.05）；研究组取环成功率100.00%与对照组82.76%比较差异有统计学意义（P0.05）；研究组轻度疼痛86.21%、中度疼痛13.79%与对照组比较差异有统计学意义（P0.05）；两组均未出现严重不良反应。 结论 欧维婷软膏联合米索前列醇用于绝经后妇女取环比单一运用米索前列醇效果显著，能够减轻患者痛苦，减少出血量，缩短手术时间，提高取环成功率。 　　[关键词] 欧维婷软膏；米索前列醇；绝经后取环；临床效果 　　[中图分类号] R969 [文献标识码] A [文章编号] 1674-0742（2017）10（c）-0129-03 　　Clinical Analysis of Ovestin Ointment Combined with Misoprostol for Postmenopausal Women of Taking the Ring 　　ZHANG Chun-ling， SONG Li 　　Department of Obstetrics and Gynecology， Siyang County People’s Hospital， Suqian， Jiangsu Province， 223700 China 　　[Abstract] Objective This paper tries to study the clinical effect of Ovestin ointment combined with misoprostol in postmenopausal women of taking the ring. Methods A total of 116 postmenopausal women admitted in this hospital from March 2014 to December 2016 were convenient selected and randomly divided into the study group and the control group， with 58 cases in each group. The control group was treated with only 4 h misoprostol 600 μg in the vaginal fornix， the study group on the basis of the control group adopted ovestin ointment for the first 5 d before the vagina every night of 0.5 g， the cervical softening， success rate of taking the ring， removal time， bleeding amount of the two groups were compared. Results The softening rate was 84.48% in the study group and 12.07% in the control group， the difference was significant（P0.05）. The removal time in the study group was （5.3±1.2）min and bleeding amount was （4.2±1.1）mL， significantly different from that in the control group（P0.05）. The success rate of taking the ring was 100.00%， significantly different from that in the control group of 82.76%（P0.05）. The mild pain degree in the st