尼尔雌醇联合米索前列醇用于绝经后取出宫内节育器的临床效果分析  

The analysis on clinical effect of Nilestriol combined with Misoprostol for removal IUD in the post-menopause

作　　者：张蓉 

机构地区：[1]中江县计划生育服务站女性节育科,四川德阳618100

出　　处：《中国计划生育和妇产科》2009年第6期14-16,共3页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的探讨尼尔雌醇联合米索前列醇用于绝经后取出宫内节育器的临床效果。方法选取中江县计划生育服务站妇科门诊就诊自愿要求取器的绝经后妇女共90例,分为两组,观察组45例,取器前给予口服尼尔雌醇和阴道放置米索前列醇,对照组45例,取器前不服用任何药物,随访观察两组取器结果。结果随访结果显示,两组间取器时轻度反应率上有显著性差异(P<0.05),观察组高于对照组;同时两组的取器失败率也有显著性差异(P<0.05),观察组低于对照组。结论尼尔雌醇联合米索前列醇用于绝经后取器,能最大程度地软化宫颈,减轻患者的取器痛苦,增加取器成功率,值得临床推广和应用。Objective To study the clinical effect of Nilestriol combined with Misoprostol for removal intrauterine contraceptive device （IUD） in the post - menopause. Methods 90 outpatients with post - menopause were randomly divided into observation group and control group. 45 cases in observation group were taken Nilestriol oral and placed Misoprostol in the vaginal before removal IUD. While other 45 cases were not taken medicine before removal IUD. The result of removal IUD was observed. Results The result showed there was significant difference on mild reaction rate and failure rate of removal IUD between two groups（P 〈 0.05）. It was higher in observation group than that in control group. Conclusion It could soften cervix in maximum degree, reduce the pain and increase the successful rate of Nilestriol combined with Misoprostol for removal IUD that it was worth generalization and application.

关 键 词：尼尔雌醇 米索前列醇 绝经后取出宫内节育器 

分 类 号：R169.49[医药卫生—公共卫生与预防医学]