中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
1期
109-110
,共2页
人工流产%瘢痕子宫%氧化亚氮%米索前列醇
人工流產%瘢痕子宮%氧化亞氮%米索前列醇
인공유산%반흔자궁%양화아담%미색전렬순
Misoprostol%Nitrous oxide%Cicatricial uterus%Induced abortion
目的 探讨氧化亚氮与米索前列醇并用于哺乳期瘢痕子宫人工流产术的临床效果.方法 将180例哺乳期瘢痕子宫早孕妇女采取随机数字表法分为氧化亚氮组65例、联合组60例,将要求直接施以负压吸引术者55例作为对照组.观察3组术中镇痛效果、宫颈松弛程度、手术时间、出血量、手术并发症的发生率.结果 与对照组比较,氧化亚氮组及联合组镇痛效果明显,联合组宫颈松弛度更佳,且手术时间最短,手术并发症的发生率最低[宫颈松弛度:86.7%比35.4%、18.1%;手术时间:(2.8±2.0)min比(3.6±2.3)min、(4.9±2.2)min;出血量:(13.4±2.8)ml比(17.1±3.1)ml、(19.0±2.8)ml;P＜0.05].结论 氧化亚氮镇痛、米索前列醇扩张宫颈,两者联合既能明显减痛,又能降低哺乳期癜痕子宫人工流产手术的操作难度,减少并发症的发生.
目的 探討氧化亞氮與米索前列醇併用于哺乳期瘢痕子宮人工流產術的臨床效果.方法 將180例哺乳期瘢痕子宮早孕婦女採取隨機數字錶法分為氧化亞氮組65例、聯閤組60例,將要求直接施以負壓吸引術者55例作為對照組.觀察3組術中鎮痛效果、宮頸鬆弛程度、手術時間、齣血量、手術併髮癥的髮生率.結果 與對照組比較,氧化亞氮組及聯閤組鎮痛效果明顯,聯閤組宮頸鬆弛度更佳,且手術時間最短,手術併髮癥的髮生率最低[宮頸鬆弛度:86.7%比35.4%、18.1%;手術時間:(2.8±2.0)min比(3.6±2.3)min、(4.9±2.2)min;齣血量:(13.4±2.8)ml比(17.1±3.1)ml、(19.0±2.8)ml;P＜0.05].結論 氧化亞氮鎮痛、米索前列醇擴張宮頸,兩者聯閤既能明顯減痛,又能降低哺乳期癜痕子宮人工流產手術的操作難度,減少併髮癥的髮生.
목적 탐토양화아담여미색전렬순병용우포유기반흔자궁인공유산술적림상효과.방법 장180례포유기반흔자궁조잉부녀채취수궤수자표법분위양화아담조65례、연합조60례,장요구직접시이부압흡인술자55례작위대조조.관찰3조술중진통효과、궁경송이정도、수술시간、출혈량、수술병발증적발생솔.결과 여대조조비교,양화아담조급연합조진통효과명현,연합조궁경송이도경가,차수술시간최단,수술병발증적발생솔최저[궁경송이도:86.7%비35.4%、18.1%;수술시간:(2.8±2.0)min비(3.6±2.3)min、(4.9±2.2)min;출혈량:(13.4±2.8)ml비(17.1±3.1)ml、(19.0±2.8)ml;P＜0.05].결론 양화아담진통、미색전렬순확장궁경,량자연합기능명현감통,우능강저포유기전흔자궁인공유산수술적조작난도,감소병발증적발생.
Objective To study the effect of nitrous oxide inhalant combined with misoprostol preoperatively on induced abortion of cicatricial uterus. Methods One hundred and eighty pregnant women who were desirous of termination of pregnancy were randomly assigned to receive nitrous oxide in combination with miso-prostol preoperatively( combination group) , nitrous oxide( nitrous oxid group) or none( control group). The main outcomes were analgesic effect, cervical dilatation, the duration of the procedure, intraoperative blood loss, incidences of induced abortion syndrome and other complications. Results The analgesia efficacy in combination group and nitrous oxid group showed significant differences from control group. Compared with nitrous oxid group, combination group showed further cervical dilatation, less duration of the procedure and incidences of complication (P ＜0. 05). Conclusions Nitrous oxide inhalant in combination with misoprostol preoperatively has proved analgesia efficacy for induced abortion of cicatricial uterus, which decreases the difficulty of operation and the risk of complications.
