卡前列甲酯栓用于无痛人工流产的临床观察

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1、卡前列甲酯栓用于无痛人工流产的临床观察作者：何永珍，李海丽，艾力曼・司地克单位：新疆医科大学第六附属医院妇产科，新疆乌鲁木齐830002【摘要】目的探讨卡前列甲酯栓用于无痛人工流产术的临床效果。方法将140例无痛人流手术者随机分为3组，分别采用卡前列甲酯栓在无痛人工流产术前30min于阴道前壁下1/3放置1mg及舌下含化1mg的患者为阴道用药组和舌下含服组，同期门诊行无痛人工流产术的患者为对照组。观察3组宫颈扩张情况、扩宫吋间、扩宫效果、手术吋间、术中出血量等指标。结杲阴道用药组和舌下含服组扩宫尺寸均较对照组明显增大(P<0.05),扩宫时间及手术时间短于对照组

2、(P<0.05),扩宫效果明显好于对照组(P<0.05),术中出血量远低于对照组，差异有统计学意义(P<0.05)o结论R前列甲酯栓用于无痛人丄流产，能充分扩张宫颈，缩短手术时间，减少术中出血，是一种有效药物。【关键词】人工流产术；异丙酚；卡前列甲酯栓EffectsofcarboprostmethylatesuppositoryofanodyniainducedabortionHEYongZhen,LIHaiLi,Aliman·Sdike(DepartmentofGynecologyandObstetrics,SixthAffiliat

3、edHospital,XinjiangMedicalUniversity,Urumqi830002,China)Abstract:Objective:ToexploretheeffectsofCarboprostmethylatesuppositoryofanodyniainducedabortion.MethodsThepatientstreatedwithanodyniainducedabortionweredividedintotwogroups:medicationgroup,patientswithCarboprostmethylatesuppository

4、toplace1mginhypopariesanteriorvaginase1/3Preoperative;PatientswithCarboprostmethylatesuppositorytosublingualadministration1mgPreoperativewereinothergroup;comparisongroup,patientsofoutpatientclinic(OPD)withoutCarboprostmethylatesuppository.Thesizeandtimeofbroadencervix,timeofoperation,bl

5、eedingamountinoperationwereobserved・ResultsThesizeofbroadencervixofpatientstreatedwithCarboprostmethylatesuppositorywereobviouslylargerthancomparisongroup,thetimeofbroadencervixandoperationofpatientstreatedwithCarboprostmethylatesuppositorywerelessthancomparisongroup,theeffectsofbroaden

6、cervixofpatientstreatedwithCarboprostmethylatesuppositorywerebetterobviouslythancomparisongroupandthebleedingamountinoperationdecreasedthancomparisongroup(P<0.05).ConclusionTheadvantagesoftheCarboprostmethylatesuppositoryofanodyniainducedabortionincludedenoughbroadencervix,shortertim

7、e,lessbleedingamount.Itisanactivedrug・Keywords:inducedabortion;propofblum;Carboprostmethylatesuppository异丙酚静脉麻醉无痛人工流产己逐步被临床推广应用，对于减少受术者痛苦有一•定作用，但对宫颈条件差、扩宫困难者，麻醉状态下强制性机械扩张宫颈可导致患者无自觉地剧烈扭动，有造成子宫穿孔、宫颈裂伤的危险。同时，由于子宫过度松软，术中出血多，不利于手术操作，易过度吸宫，造成损伤子宫内膜和出现手术其他并发症的可能性。为避免上述弊端，需寻找i种简便、减少术屮出