中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
32期
13-15
,共3页
王妍%刘维琴%卜令真%刘海瑛
王妍%劉維琴%蔔令真%劉海瑛
왕연%류유금%복령진%류해영
雌三醇%复方萘普生栓%绝经后妇女%宫内节育器
雌三醇%複方萘普生栓%絕經後婦女%宮內節育器
자삼순%복방내보생전%절경후부녀%궁내절육기
Estriol%Compound Naproxen Suppositories%Postmenopausal women%Intrauterine device(IUD)
目的：探讨对绝经后妇女行宫内节育器取出术前联合应用雌三醇软膏及复方萘普生栓的临床效果。方法选取2010年1月＿2014年1月期间,要求取出宫内节育器的绝经期患者240例。将上述患者随机分为A﹑B﹑C﹑D4组,每组各60例。A组患者于取器前给予阴道用雌三醇软膏1周,B组患者于取器前给予肛门放置复方萘普生栓1枚,C组患者于取器前联合使用雌三醇软膏和复方萘普生栓,D组患者则直接进行宫内节育器取出手术。观察各组患者手术时宫颈软化扩张程度﹑术中综合反应及取器效果情况。结果 A﹑B两组患者间手术效果差异无统计学意义﹙P>0.05﹚,A﹑B两组的手术效果显著优于D组,差异有统计学意义﹙P<0.05﹚,C组效果最好,显著优于其它各组,差异有统计学意义﹙P<0.05﹚。结论绝经后妇女在行宫内节育器取出手术前,联合应用雌三醇软膏及复方奈普生栓,可以有效的改善患者宫颈条件,降低患者痛苦,并大大提高了手术的成功率。在临床应用上,该方法安全﹑经济有效﹑简单易行,适宜于广泛推广。
目的：探討對絕經後婦女行宮內節育器取齣術前聯閤應用雌三醇軟膏及複方萘普生栓的臨床效果。方法選取2010年1月＿2014年1月期間,要求取齣宮內節育器的絕經期患者240例。將上述患者隨機分為A﹑B﹑C﹑D4組,每組各60例。A組患者于取器前給予陰道用雌三醇軟膏1週,B組患者于取器前給予肛門放置複方萘普生栓1枚,C組患者于取器前聯閤使用雌三醇軟膏和複方萘普生栓,D組患者則直接進行宮內節育器取齣手術。觀察各組患者手術時宮頸軟化擴張程度﹑術中綜閤反應及取器效果情況。結果 A﹑B兩組患者間手術效果差異無統計學意義﹙P>0.05﹚,A﹑B兩組的手術效果顯著優于D組,差異有統計學意義﹙P<0.05﹚,C組效果最好,顯著優于其它各組,差異有統計學意義﹙P<0.05﹚。結論絕經後婦女在行宮內節育器取齣手術前,聯閤應用雌三醇軟膏及複方奈普生栓,可以有效的改善患者宮頸條件,降低患者痛苦,併大大提高瞭手術的成功率。在臨床應用上,該方法安全﹑經濟有效﹑簡單易行,適宜于廣汎推廣。
목적：탐토대절경후부녀행궁내절육기취출술전연합응용자삼순연고급복방내보생전적림상효과。방법선취2010년1월＿2014년1월기간,요구취출궁내절육기적절경기환자240례。장상술환자수궤분위A﹑B﹑C﹑D4조,매조각60례。A조환자우취기전급여음도용자삼순연고1주,B조환자우취기전급여항문방치복방내보생전1매,C조환자우취기전연합사용자삼순연고화복방내보생전,D조환자칙직접진행궁내절육기취출수술。관찰각조환자수술시궁경연화확장정도﹑술중종합반응급취기효과정황。결과 A﹑B량조환자간수술효과차이무통계학의의﹙P>0.05﹚,A﹑B량조적수술효과현저우우D조,차이유통계학의의﹙P<0.05﹚,C조효과최호,현저우우기타각조,차이유통계학의의﹙P<0.05﹚。결론절경후부녀재행궁내절육기취출수술전,연합응용자삼순연고급복방내보생전,가이유효적개선환자궁경조건,강저환자통고,병대대제고료수술적성공솔。재림상응용상,해방법안전﹑경제유효﹑간단역행,괄의우엄범추엄。
Objective To investigate the clinical effect of Estriol Cream combined with Compound Naproxen Suppositories used before removing the intrauterine device (IUD) in postmenopausal women. Methods 240 postmenopausal women required to remove the IUD from January 2010 to January 2014 were selected and randomly divided into four groups, group A, group B, group C and group D with 60 cases in each. Before removing IUD, Estriol Cream was used vaginally for 1 week for group A, Compound Naproxen Suppositories 1 used anally was given to group B, group C was given both Estriol Cream and Compound Naproxen Sup_positories, while group D underwent the operation for removing IUD directly. The degree of cervical softening and expansion, intra_operative comprehensive response as well as the result of removing IUD were observed between the groups. Results There was no statistically significant difference in the result of removing IUD between group A and group B (P>0.05). The clinical effect was bet_ter in group A and group B than in group D (P<0.05). The clinical effect of group C was the best, which was significantly better than that of the other three groups (P<0.05). Conclusion Estriol Cream combined with Compound Naproxen Suppositories can ef_fectively improve the cervical conditions of postmenopausal women before removing the IUD, alleviate the suffering of patients and increase the success rate of the operation greatly. It is safe, economic, effective, simple and feasible, so it is suitable for populariz_ing clinically.
