米索前列醇在剖宫产术后患者无痛人流中应用效果的临床研究  

Isoprostol in cesarean section in patients with painless application of flow effects of clinical research

作　　者：陈美新[1] 

机构地区：[1]上海市长宁区中心医院妇产科,上海200335

出　　处：《四川医学》2010年第4期467-469,共3页Sichuan Medical Journal

摘　　要：目的临床对比观察异丙酚加用米索前列醇用于剖宫产术后患者无痛人流的效果。方法将我院妇产科门诊2008年9月1日2009年8月31日的200例剖宫产术后早孕需行无痛人流治疗患者平均分为A、B两组,每组100例;A组在用异丙酚基础上加用米索前列醇用于人工流产术;B组单纯应用异丙酚用于人工流产术,对比观察两组患者的治疗效果与并发症情况。结果A、B两组手术时间长短无明显差别（P〉0.05）,A组术中出血量明显少于B组,两组比较有统计学意义（P〈0.05）;A组宫颈松弛率较B组明显提高（P〈0.05）,A组人流综合征发生率较B组明显下降（P〈0.05）。结论米索前列醇在用异丙酚的基础上用于剖宫产术后无痛人工流产能提高宫颈松弛度、减少术中出血量、降低人流综合征发生率,有一定的临床推广应用价值。Objective To compare the clinical effects of propofol increase after cesarean section in patients with misoprostol for painless flow effect.Methods The hospital maternity clinic September 1,2008 to August 31,2009 of 200 cases of pregnancy after cesarean section be OK painless patients treated with an average flow of people is divided into A,B groups,each group of 100 cases;A group based on the use of propofol was added misoprostol in induced abortion;B group were application of propofol in induced abortion,compared to the therapeutic effects were observed in patients with complications situation.Results A、B groups no significant difference in the length of operative time（P0.05）,A group blood loss was significantly less than the B group,the two groups was statistically significant（P0.05）;A group of cervical relaxation rate than the B group was significantly increased（P0.05）,A compared with the incidence of abortion syndrome group B were significantly decreased（P0.05）.Conclusion Misoprostol using propofol for cesarean section on the basis of induced abortion can improve the degree of cervical relaxation,reducing blood loss and reduce the incidence of abortion syndrome,there is a certain degree of clinical application.

关 键 词：人工流产 异丙酚 米索前列醇 无痛人流 临床研究 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]