间苯三酚联合尼尔雌醇用于绝经后取环术临床观察  

Clinical observation on application of phloroglucinol and nilestriol in intrauterine device removal in postmenopausal women

作　　者：刘金芳[1] 

机构地区：[1]泰安荣军医院,山东泰安271000

出　　处：《泰山医学院学报》2010年第12期948-949,共2页Journal of Taishan Medical College

摘　　要：目的观察静脉注射间苯三酚联合尼尔雌醇在绝经后妇女宫内节育器(IUD)取出术中的临床疗效。方法将120例需要取IUD的绝经后妇女术前1周给予尼尔雌醇4 mg顿服并随机分为两组。观察组60例,术前10min静脉注射间苯三酚40 mg;对照组60例,不用任何药物,常规取IUD。观察宫颈软化、扩张情况及一次性取IUD成功率、并发症等。结果观察组与对照组在软化及扩张宫颈、一次性取IUD成功率等方面的比较,差异有统计学意义(P<0.05)。结论术前静脉注射间苯三酚联合尼尔雌醇为一种起效快、副反应少,安全、方便的软化宫颈方法,适合用于绝经后IUD取出术。Objective：To observe clinical effects of intravenous injection of phloroglucinol in combination with nilestriol in intrauterine device（IUD）removal in postmenopausal women.Methods：120 postmenopausal women were administered nilestriol 4 ml orally 1 week prior to IUD removal and randomly assigned to two groups.Sixty cases in the intervention group were administered phloroglucinol 40 mg intravenously 10 minutes prior to IUD removal,and 60 cases in the control group were removed IUD in the regular way.The total effective cervical softening and expansion rate,the one-time success rate of removing IUD and the comprehensive complication incidence of the 2 groups were observed.Results：The total effective cervical softening and expansion rate,the one-time success rate of removing IUD and the comprehensive complication incidence of the 2 groups were all significantly different（P0.05）.Conclusion：Injecting phloroglucinol intravenously prior to surgery in combination with nilestriol is a safe,convenient and rapid method with less side effects to soften the cervix and applicable to IUD removal in postmenopausal women.

关 键 词：间苯三酚 尼尔雌醇 绝经期 宫内节育器 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]