CAJ | 학술논문

背景:优美特宫颈扩张棒由高性能吸水性好的高分子生物材料制成,无毒副作用,一次性使用,可避免交叉感染.目的:观察优美特宫颈扩张棒用于置、取宫内节育器及人工流产术前扩张宫颈的临床效果.方法:将置、取宫内节育器、妊娠 10 周内负压吸引人工流产术需扩张宫颈的275名女性,随机分为两组,观察组137名,应用优美特宫颈扩张棒扩张宫颈;对照组138名,应用宫术宁胶棒扩张宫颈.观察两组术中宫颈软化扩张情况、镇痛效果、综合反应程度.结果与结论:两组育龄期置、取宫内节育器的宫颈扩张效果比较差异无显著性意义,观察组人流和绝经期取宫内节育器的宫颈扩张效果优于对照组(P < 0.05);观察组置入时的疼痛发生率低于对照组(P < 0.05),两组留置时的疼痛发生率均较低且无差异;两组手术结果及安全情况比较差异无显著性意义.两组均顺利取出扩张棒,无宫颈损伤发生,术中无血压下降、心率减慢等心脑综合征发生,未发生与扩张宫颈相关的不良事件.表明优美特宫颈扩张棒扩张宫颈效果安全、可靠,可显著减轻疼痛感.
배경:우미특궁경확장봉유고성능흡수성호적고분자생물재료제성,무독부작용,일차성사용,가피면교차감염.목적:관찰우미특궁경확장봉용우치、취궁내절육기급인공유산술전확장궁경적림상효과.방법:장치、취궁내절육기、임신 10 주내부압흡인인공유산술수확장궁경적275명녀성,수궤분위량조,관찰조137명,응용우미특궁경확장봉확장궁경;대조조138명,응용궁술저효봉확장궁경.관찰량조술중궁경연화확장정황、진통효과、종합반응정도.결과여결론:량조육령기치、취궁내절육기적궁경확장효과비교차이무현저성의의,관찰조인류화절경기취궁내절육기적궁경확장효과우우대조조(P < 0.05);관찰조치입시적동통발생솔저우대조조(P < 0.05),량조류치시적동통발생솔균교저차무차이;량조수술결과급안전정황비교차이무현저성의의.량조균순리취출확장봉,무궁경손상발생,술중무혈압하강、심솔감만등심뇌종합정발생,미발생여확장궁경상관적불량사건.표명우미특궁경확장봉확장궁경효과안전、가고,가현저감경동통감.
BACKGROUND:YOUMET cervical dilating rod is made of absorbent polymer materials and has non-toxic side effects, which can avoid cross-infection in one-time use. OBJECTIVE:To observe the clinical effects of YOUMET cervical dilating rod used for cervical orifice dilation before intrauterine device insertion and removal as wel as before artificial abortion operations. METHODS:Totaly 275 female subjects schedule for cervical dilation during intrauterine device insertion and removal operations, and suction abortion for pregnancy within 10 weeks were randomly divided into two groups: 137 were included in observation group in which YOUMET cervical dilating rods were applied and 138 were included in control group in which Gongshuning glue sticks were used. Their cervical softening and dilatation situation, analgesic effect, and combined reactions during operation were observed. RESULTS AND CONCLUSION:Between the two groups, no statistical significance in general biological characteristics was found; Dilating effects in intrauterine device removing operations during child-bearing period and menopause were better in the observation group than the control group (P < 0.05). Rates of pain during insertion were higher in the observation group than the control group (P < 0.05). Rates of pain during indweling period for both groups were comparatively low, which showed no statistical significance. There was no record related to the application of cervical orifice dilating products in postoperative folow-up visit. Both products were safe with no cervical injury, slow heart rate and drop in blood pressure. YOUMET cervical dilating rod has trustworthy and safe dilating effects, which can remarkably aleviate pain.