无痛人工流产加舌下含服米索前列醇终止早孕  

Plus Misoprostol Induced Abortion to Terminate Pregnancy

作　　者：王真 孙世艳 

机构地区：[1]山东省临沂市太平街道卫生院,山东临沂276029

出　　处：《黑龙江医学》2010年第10期781-782,共2页Heilongjiang Medical Journal

摘　　要：目的探讨无痛人工流产前、后舌下含化米索前列醇终止早孕的临床效果。方法将孕8～10周,需终止妊娠,并要求无痛人工流产的93例孕妇随机分为观察组(47例)和对照组(46例),前者在用丙泊酚加芬太尼行无痛人工流产前30 min及其后分别舌下含化米索前列醇0.4 mg,后者不用米索前列醇。观察两组术中宫颈松弛扩张情况,宫缩幅度,术中出血量及术后阴道流血时间。结果两组宫颈松弛扩张情况无差异;观察组宫缩幅度明显大于对照组(P<0.05),且易于手术操作,术中出血量,术后阴道流血时间均明显小于或短于对照组(P分别为<0.01和0.05)。结论无痛人工流产前、后舌下含化米索前列醇可增强子宫收缩,手术易于操作,术中出血少,术后阴道流血时间短,值得临床推广应用。Objective To study the induced abortion before and after the termination of early pregnancy sublingual misoprostol clinical results.Methods 8～10 weeks of pregnancy needed to end the pregnancy and requested induced abortion in 93 cases of pregnant women were randomly divided into Group A（47 patients） and control group（46 cases）,the former in the use of propofol with fentanyl induced abortion after the first half hour of sublingual misoprostol were 0.4 mg,which did not misoprostol.Patients were observed in cervical dilatation and relaxation,contraction rate,blood loss and postoperative bleeding time.Results There was no difference in cervical dilatation and relaxation;observation group contractions were much higher than the control group（P〈0.05）;and easy surgical procedure,blood loss,postoperative bleeding time were significantly smaller than or shorter than the control group（P〈0.01 and 0.05）.Conclusion The induced abortion before and after sublingual misoprostol could increase contraction of the uterus,surgery should be easy to operate,less bleeding,vaginal bleeding after a short time,might be worthy of clinical application.

关 键 词：无痛人工流产 米索前列醇 阴道流血 

分 类 号：R714[医药卫生—妇产科学]