优美特宫颈扩张棒用于置(取)宫内节育器及人工流产术前扩张宫颈的临床效果观察  

Clinical observation on YOUMET cervical dilating rod used for cervical orifice dilation during IUD insertion and removal and artificial abortion

作　　者：郝莹莹[1] 陈桂兰[1] 周家文[2] 王玉[1] 杨清[1] 张淑兰[1] 

机构地区：[1]中国医科大学附属盛京医院妇产科,沈阳110004 [2]吉林大学中日联谊医院妇产科

出　　处：《中国计划生育学杂志》2014年第2期109-112,共4页Chinese Journal of Family Planning

摘　　要：目的:观察优美特宫颈扩张棒用于置(取)宫内节育器(IUD)及人工流产术前扩张宫颈的临床效果和不良反应。方法:将要求置或取宫内节育器,妊娠<10周负压吸引人工流产术需扩张宫颈的妇女275例随机分为两组,观察组(137例)为应用优美特宫颈扩张棒,对照组(138例)为应用宫术宁胶棒,观察两组术中宫颈软化扩张情况、镇痛效果、综合反应程度,术后20d随访。结果:观察组和对照组置或取IUD扩张宫颈效果分别为100%、96%,无统计学差异(P>0.05),人工流产和绝经期取IUD扩张效果观察组优于对照组(P<0.05),置入时疼痛发生率(4%、25%)有差异(P<0.05);留置时疼痛发生率均较低,两组无统计学差异(P>0.05),术后随访两组均无与产品相关的不良记载。结论:优美特宫颈扩张棒扩张效果可靠、安全,适用于置(取)IUD、妊娠10周内负压吸引人工流产术术前扩张宫颈。Objective： To explore the clinical effect and side effects of YOUMET cervical dilating rod used for cervical orifice dilation before IUD insertion and removal and artificial abortion operations. Methods： A total of 275 women see- king for cervical dilation during IUD insertion and removal operations, and artificial abortion--vacuum aspiration oper- ation for pregnancy within 10 weeks were randomly divided into two groups. There were 137 women in the observation group and YOUMET cervical dilating rod was used, while 138 served as the control and Gongshuning glue stick was used. The cervical softening and dilatation status, analgesic effect, and comprehensive reactions during operation were observed. Women were followed up since the 20th day after operation. Results.. For the two groups, there was no sta- tistical significance in general biological characteristics （P^0.05）. Dilating effects in IUD inserting and removing oper- ations during child--bearing period were 100% and 96 %, which showed no statistical significance. Dilating effects in artificial abortion operation and IUD removing operation during menopause showed statistical significance （P^0.05）. And incidences of side effect, which was pain during insertion, were 4 % and 25 ~ in turns, showing significant differ- ence （P%0.05）. Incidences of pain during indwelling period for both groups were comparatively low, which showed no significant difference. There was no adverse record related to the usage of cervical orifice dilating products in post--op- eration follow--up visits （P ~0.05）. Conclusion.. YOUMET cervical dilating rod has trustworthy and safe dilating effect. It is applicable to cervical dilation before IUD insertion and removal operations, and vacuum aspiration operation for termination of pregnancy within 10 weeks.

关 键 词：宫颈扩张棒 宫术宁胶棒 宫颈扩张 随机 对照 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]