国际生殖健康计划生育杂志
國際生殖健康計劃生育雜誌
국제생식건강계화생육잡지
Journal of International Reproductive Health/Family Planning
2013年
5期
379-381
,共3页
绝经期%宫内避孕器%米索前列醇%丁卡因
絕經期%宮內避孕器%米索前列醇%丁卡因
절경기%궁내피잉기%미색전렬순%정잡인
Menopause%Intrauterine devices%Misoprostol%Tetracaine
目的：探讨3种不同绝经后妇女宫内节育器取出术的疗效。方法：选择绝经后妇女317例，随机分成3组。A组（104例）口服补佳乐（2 mg），连服5 d，术前3 h于阴道后穹窿放置米索前列醇400滋g。手术开始后使用丁卡因胶浆3 g进行表面麻醉。B组（112例）使用米索前列醇及丁卡因联合，方法及剂量同A组。C组（101例）手术开始后单纯使用丁卡因胶浆。记录3组节育器取出术中患者的疼痛程度、术后阴道出血时间及取器成功率。结果：3组一次性取出节育器成功率比较差异有统计学意义（字2=15.585，P＜0.05）。3组节育器取出术中疼痛程度、术后阴道出血时间比较差异有统计学意义（H 分别为144.366和31.567，P＜0.05）。结论：在绝经后妇女宫内节育器取出术前应用补佳乐、米索前列醇及术中配伍丁卡因，能减轻患者的痛苦，增加取器的一次成功率，减少术后阴道出血时间。
目的：探討3種不同絕經後婦女宮內節育器取齣術的療效。方法：選擇絕經後婦女317例，隨機分成3組。A組（104例）口服補佳樂（2 mg），連服5 d，術前3 h于陰道後穹窿放置米索前列醇400滋g。手術開始後使用丁卡因膠漿3 g進行錶麵痳醉。B組（112例）使用米索前列醇及丁卡因聯閤，方法及劑量同A組。C組（101例）手術開始後單純使用丁卡因膠漿。記錄3組節育器取齣術中患者的疼痛程度、術後陰道齣血時間及取器成功率。結果：3組一次性取齣節育器成功率比較差異有統計學意義（字2=15.585，P＜0.05）。3組節育器取齣術中疼痛程度、術後陰道齣血時間比較差異有統計學意義（H 分彆為144.366和31.567，P＜0.05）。結論：在絕經後婦女宮內節育器取齣術前應用補佳樂、米索前列醇及術中配伍丁卡因，能減輕患者的痛苦，增加取器的一次成功率，減少術後陰道齣血時間。
목적：탐토3충불동절경후부녀궁내절육기취출술적료효。방법：선택절경후부녀317례，수궤분성3조。A조（104례）구복보가악（2 mg），련복5 d，술전3 h우음도후궁륭방치미색전렬순400자g。수술개시후사용정잡인효장3 g진행표면마취。B조（112례）사용미색전렬순급정잡인연합，방법급제량동A조。C조（101례）수술개시후단순사용정잡인효장。기록3조절육기취출술중환자적동통정도、술후음도출혈시간급취기성공솔。결과：3조일차성취출절육기성공솔비교차이유통계학의의（자2=15.585，P＜0.05）。3조절육기취출술중동통정도、술후음도출혈시간비교차이유통계학의의（H 분별위144.366화31.567，P＜0.05）。결론：재절경후부녀궁내절육기취출술전응용보가악、미색전렬순급술중배오정잡인，능감경환자적통고，증가취기적일차성공솔，감소술후음도출혈시간。
ObjectiveTo evaluate the curative effect of three methods used in the intrauterine device(IUD)removal surgery in post-menopausal women. MethodsThe selected 317 post-menopausal women requiring the IUD removal surgery were randomly divided into three groups. Women in group A orally took progynova (2 mg)for 5 days, and placed misoprostol 400 μg in the vaginal fornix 3 hours before the surgery. And tetracaine mucilage was used for surface anesthesia during operation. Women in group B used misoprostol combined tetracaine, with the same dosage and administration in group A. Women in group C only used tetracaine mucilage, with the same dosage and administration in group A. Clincal parameters were collected, including the vaginal bleeding time, the success rate of IUD removal surgery, and pain degrees during operation and after operation. ResultsThere was significant difference in the success rate of IUD removal surgery among A, B and C groups (χ2=15.585,P<0.05). There were also significant differences in the pain degree during IUD removal surgery and the vaginal bleeding time among three groups(the value of H was 144.366 and 31.567 respectively, P<0.05). ConclusionsThe method combined progynova, misoprostol and tetracaine before IUD removal surgery among post-menopausal women was helpful to alleviate surgery pain, increase success rate, and shorten vaginal bleeding time after surgery.
