CAJ | 학술논문

目的探讨多功能子宫腔探测喷灌器的研制及临床应用效果.方法采用随机分组方法将600例研究对象分为三组,每组200例,应用多功能子宫腔探测喷灌器喷灌麻醉药物为Ⅰ组;宫旁注射浸润麻醉为Ⅱ组;术前不用任何药物直接行人工流产术为Ⅲ组.比较三组手术时扩张子宫颈的疼痛程度、吸刮子宫腔时的疼痛程度、术中的出血量、术中无阻力通过宫颈口扩张器的号数.结果术中扩张子宫颈的疼痛程度Ⅰ组、Ⅱ组均轻于Ⅲ组(P均<0.01),Ⅰ组、Ⅱ组间差异无统计学意义(P>0.05);吸宫时的疼痛程度Ⅰ组轻于Ⅱ组、Ⅲ组(P均<0.05),Ⅱ组与Ⅲ组间差异无统计学意义(P>0.05);术时出血量三组比较差异无统计学意义(P>0.05);术中无阻力通过宫颈口扩张器的号数Ⅰ组、Ⅱ组少于Ⅲ组(均P<0.05),Ⅰ组与Ⅱ组间差异无统计学意义(P>0.05).结论临床应用多功能子宫腔探测喷灌器喷灌麻醉药物,具有麻醉作用快、镇痛作用强、术中用药、经济、实用、安全、有效等优点,是值得临床推广的新器械.
목적 탐토다공능자궁강탐측분관기적연제급림상응용효과.방법 채용수궤분조방법장600례연구대상분위삼조,매조200례,응용다공능자궁강탐측분관기분관마취약물위Ⅰ조;궁방주사침윤마취위Ⅱ조;술전불용임하약물직접행인공유산술위Ⅲ조.비교삼조수술시확장자궁경적동통정도、흡괄자궁강시적동통정도、술중적출혈량、술중무조력통과궁경구확장기적호수.결과 술중확장자궁경적동통정도Ⅰ조、Ⅱ조균경우Ⅲ조(P균<0.01),Ⅰ조、Ⅱ조간차이무통계학의의(P>0.05);흡궁시적동통정도Ⅰ조경우Ⅱ조、Ⅲ조(P균<0.05),Ⅱ조여Ⅲ조간차이무통계학의의(P>0.05);술시출혈량삼조비교차이무통계학의의(P>0.05);술중무조력통과궁경구확장기적호수Ⅰ조、Ⅱ조소우Ⅲ조(균P<0.05),Ⅰ조여Ⅱ조간차이무통계학의의(P>0.05).결론 림상응용다공능자궁강탐측분관기분관마취약물,구유마취작용쾌、진통작용강、술중용약、경제、실용、안전、유효등우점,시치득림상추엄적신기계.
Objective To evaluate the effectiveness of the device to spray liquid into uterine cavity and detect the depth of it. Methods 600 patients were randomized into three groups with 200 cases each. Group Ⅰ received anesthetics with the device to spray liquid into uterine cavity and detect the depth of it. Group Ⅱreceived anesthetics by injecting anesthetics at the side of uterine cervix, Group Ⅲ were not treated with any anesthetics. The degree of pain during enlarging uterine cervix and uterine curettage, the amount of bleeding and the sizes of cervical dilator through uterine cervix with non-resistance were compared between the three groups. Results A significantly alleviated degree of pain during enlarging uterine cervix was observed between group Ⅰ,group Ⅱ and group Ⅲ(P<0.05),but there was no significant difference in group Ⅰ and groupⅡ(P>0.05).A significantly alleviated degree of pain during uterine curettage was observed between group Ⅰ and group Ⅱ,group Ⅲ(P<0.05),but there was no significant difference in group Ⅱ and group Ⅲ(P>0.05).The amount of bleeding in three groups were not observed(P>0.05).The significantly decreased sizes of cervical dilator through uterine cervix with non-resistance were observed between group Ⅰ.groupⅡand group Ⅲ(P<0.05),but there was no significant difference in group Ⅰ and group Ⅱ(P>0.05).Conclusion The device to spray liquid into uterine cavity and detect the depth of it is applied in clinic,and it has some advantages:narcotism is quick;abirrition is strong;using is convenience;damage is small;application is economical and safety.So it is worthy of widely use.