卡孕栓在疤痕子宫人工流产术中的应用  

Application of Carboprost in artificial abortion of patients with scar uterus

作　　者：戴丛伟 王晓秋[1] 周蓓蕾 

机构地区：[1]浙江省瑞安市人民医院,浙江瑞安325200

出　　处：《中国妇幼健康研究》2015年第2期320-322,共3页Chinese Journal of Woman and Child Health Research

基　　金：温州市科技局资助项目(编号:Y20140137)

摘　　要：目的研究卡孕栓在疤痕子宫人工流产术中的应用。方法选取浙江省瑞安市人民医院收治的并要求行人工流产术的120例疤痕子宫妊娠患者作为研究对象,按随机数字表法分为观察组及对照组,观察组在术前90min于阴道后穹窿放置卡孕栓剂1mg,两组均给予人工流产手术,观察疗效。结果观察组手术时间及术中出血量均显著低于对照组,差异具有统计学意义(t值分别为6.493、8.599,均P<0.05)。观察组宫颈扩张总有效率显著高于对照组,差异具有统计学意义(x^2=32.967,P<0.05)。观察组子宫穿孔、宫腔残留及人工流产综合征发生率均显著低于对照组,差异具有统计学意义(x^2值分别为4.138、4.138、4.904,均P<0.05)。结论卡孕栓在疤痕子宫人工流产术中的应用效果满意,建议在临床中推广应用。Objective To study the clinical application of Carboprost in artificial abortion of patients with scar uterus.Methods A total of 120 patients with scar uterus was selected in People’ s Hospital of Ruian City in Zhejiang Province and were divided into observation group and control group according to random number table.The observation group received Carboprost 90min before artificial abortion operation. All patients received artificial abortion operation, and clinical efficacy was observed and compared between two groups.Results The operation time and blood loss during operation of the observation group were significantly lower than those of the control group （ t value was 6.493 and 8.599, respectively, both P〈0.05）.The total efficiency rate of cervical dilatation of the observation group was significantly higher than that of the control group （χ^2 =32.967,P〈0.05）.And the incidences of uterus perforation, intrauterine residue and artificial abortion syndrome of the observation group were significantly lower than those of the control group （χ^2 value was 4.138, 4.138 and 4.904, respectively, all P〈0.05）.Conclusion The clinical application of Carboprost in artificial abortion operation for patients with scar uterus is effective, and it is worthy of application in clinics.

关 键 词：疤痕子宫 人工流产术 卡孕栓 疗效 

分 类 号：R714.2[医药卫生—妇产科学]