CAJ | 학술논문

目的：探讨绝经后取器手术中舌下含服米索前列醇的用量，缩短手术时间，降低药物副作用，达到松弛宫颈，减轻疼痛程度的目的，避免因IUD取出带来的机械损伤。方法：采用400μg和200μg两种不同剂量的米索前列醇舌下含服配伍盐酸丁卡因胶浆用于绝经1年以上，放置金属单环20年以上的农村妇女，观察两组术中宫口松弛、术中疼痛、术前阴道出血、腹坠痛及取器效果的情况。结果：A组用药剂量小，其松弛宫颈、镇痛及取器效果效果与B组无差异，术前阴道出血、腹痛等副反应明显低于B组P＜0.01。结论：将米索前列醇计量减少到200μg合并盐酸丁卡因胶浆用于绝经后取环，达到了常规用量松弛宫颈、镇痛的作用，其药物副反应小，取器成功率略高于常规用量。
목적：탐토절경후취기수술중설하함복미색전렬순적용량，축단수술시간，강저약물부작용，체도송이궁경，감경동통정도적목적，피면인IUD취출대래적궤계손상。방법：채용400μg화200μg량충불동제량적미색전렬순설하함복배오염산정잡인효장용우절경1년이상，방치금속단배20년이상적농촌부녀，관찰량조술중궁구송이、술중동통、술전음도출혈、복추통급취기효과적정황。결과：A조용약제량소，기송이궁경、진통급취기효과효과여B조무차이，술전음도출혈、복통등부반응명현저우B조P＜0.01。결론：장미색전렬순계량감소도200μg합병염산정잡인효장용우절경후취배，체도료상규용량송이궁경、진통적작용，기약물부반응소，취기성공솔략고우상규용량。
Objectives:To investigate the amount of sublingual misoprostol keeping under tongue in extrac-tion of IUD to shorten the surgery time,reduce side effects,relax cervix,relieve pain and avoid mechanical damage caused in the surgery.Methods:Two different doses,400μg and 200μg,of sublingual misoprostol combined with tetracaine hydrochloride mortar were used in extraction of IUD placed over 20 years in rural women who were meno-pausal for over one year,to observe the situation of cervix relaxation,surgery pain,preoperative vaginal bleeding, abdominal pain and effect of both groups.Results:With small dose,the degree of relaxation of cervix,surgery pain and effect of group A was of no difference from group B.Preoperative vaginal bleeding,abdominal pain and other side effect of group A were significantly lower than group B,P<0.01.Conclusion:Joint use of 200μg misoprostol and tetracaine hydrochloride mortar in extraction of IUD in post-menopause women can achieve the same effect in relaxing cervix and reducing pain as normal dose,with slightly higher success rate and fewer side effects.