CAJ | 학술논문

目的：探讨停用插管术，改用舌下含服米索前列醇配伍盐酸丁卡因胶浆行钳刮术临床效果。方法：选择B超提示宫内孕10-12周，自愿来站行钳刮术而无手术禁忌症的150例妊娠妇女，随机分成A、B两组，A组给予术前3小时、1.5小时分别舌下含服米索前列醇200ug，于术前2-3分钟宫颈管内注入盐酸丁卡因胶浆1支；B组给予术前14小时行插管术，术前3小时口服米索前列醇400ug。结果：A组宫颈松弛度显效率、术中镇痛率、药物副反应均低于B组，具有显著差异（p＜0.01﹚，同时降低术后感染率。结论：舌下含服米索前列醇配伍盐酸丁卡因胶浆用于钳刮术宫颈松弛度高、术中镇痛效果好，舌下含服给药更方便，减少阴道、宫腔操作次数，降低术后感染率，更适合在基层临床应用。
목적：탐토정용삽관술，개용설하함복미색전렬순배오염산정잡인효장행겸괄술림상효과。방법：선택B초제시궁내잉10-12주，자원래참행겸괄술이무수술금기증적150례임신부녀，수궤분성A、B량조，A조급여술전3소시、1.5소시분별설하함복미색전렬순200ug，우술전2-3분종궁경관내주입염산정잡인효장1지；B조급여술전14소시행삽관술，술전3소시구복미색전렬순400ug。결과：A조궁경송이도현효솔、술중진통솔、약물부반응균저우B조，구유현저차이（p＜0.01﹚，동시강저술후감염솔。결론：설하함복미색전렬순배오염산정잡인효장용우겸괄술궁경송이도고、술중진통효과호，설하함복급약경방편，감소음도、궁강조작차수，강저술후감염솔，경괄합재기층림상응용。
Object:Discussing the clinical effect of using tetracaine hydrochloride mucilage and misoprostol keeping under tongue instead of encheiresis in 10-12 weeks curet age. Method:Dividing 150 women, who are freewil to have curet ages, into teams A and B. Each woman in team A has 200ug misoprostol keeping under tongue every time at 3 hours and 1.5 hours before the surgery. Each woman in team A accepts injection of 1 tetracaine hydrochloride mucilage at 2-3 minutes before the surgery. Each woman in team B has encheiresis at 14 hours and has 400ug misoprostol at 3 hours before the surgery. Result:The percentage of effect for cervical laxity, pain in surgery and drug reaction have significant differences (p < 0.01) in team A, and the percentage of infection after the surgery is lower than team B. Conclusion: Using tetracaine hydrochloride mucilage and misoprostol keeping under tongue in curet age has advantages such as bet er performance of cervical laxity, bet er anaigesic effect in surgery, easier route of medication with keeping under tongue method, fewer operations on the uterine cavity and fewer infection rates after the surgery, and this technology should be used in base level medical institations( family planning service stations) in China.