一次性宫颈扩张棒在未婚妊娠无痛人工流产中的应用  

Application of disposable cervical dilator in painless induced abortion of unmarried pregnancy

作　　者：项彩萍 Xiang Caiping(One Day Operating Room,the First Affiliated Hospital of the University of Science and Technology of China(Anhui Provincial Hospital),Hefei,Anhui 230001,China)

机构地区：[1]中国科学技术大学附属第一医院安徽省立医院日间手术室,合肥230001

出　　处：《中国基层医药》2019年第24期2961-2964,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨一次性宫颈扩张棒在未婚妊娠无痛人工流产中的应用效果.方法 选取2017 年6-8月在中国科学技术大学附属第一医院(安徽省立医院)自愿行无痛人工流产的未婚妊娠者66例,年龄(23.13 ±3.12)岁,孕6-12周,采用随机数字表法分为观察组32例和对照组34例.观察组术前应用一次性宫颈扩张棒扩张宫颈后手术,对照组按无痛人工流产常规进行手术.两组均采用静脉麻醉,同时在手术前后给予健康教育.观察比较两组患者宫颈扩张效果及人工流产综合征发生率.结果 观察组宫颈扩张显效18例,有效8例,有效率为81.3%;对照组宫颈扩张显效2例,有效10例,有效率为54.5%,两组有效率比较差异有统计学意义(Z=-4.552,P=0.000);观察组人工流产综合征发生率为3.12%,对照组人工流产综合征发生率为23.53%,观察组明显低于对照组(χ^2 =4.24,P=0.040).结论 在未婚妊娠无痛人工流产中应用一次性宫颈扩张棒,可有效地扩张宫颈,减少人工流产综合征的发生.Objective To investigate the application effect of disposable cervical dilatation stick in painless induced abortion of unmarried pregnancy.Methods From June 2017 to August 2017,66 unmarried pregnant women [aged (23.13 ±3.12) years old and 6-12 weeks pregnant ] who volunteered underwent painless induced abortion in the First Affiliated Hospital of the University of Science and Technology of China (Anhui Provincial Hospital ) were selected,and randomly divided into observation group (32 cases) and control group (34 cases) according to the digit-al table method.The observation group was preoperatively treated with a one-time cervical dilator,and the control group was operated with painless induced abortion routine.Both two groups were given intravenous anesthesia and health education before and after surgery.The effect of cervical dilatation and incidence of induced abortion syndrome were observed and compared between the two groups.Results In the observation group,cervical dilatation showed significant effect in 18 cases and effective in 8 cases,with an effective rate of 81.3%.While in the control group , cervical dilatation showed significant effect in 2 cases and effective in 10 cases,with an effective rate of 54.5%.The difference of effective rate between the two groups was statistically significant ( Z=-4.552,P=0.000).The inci-dence rate of induced abortion syndrome in the observation group was 3.12%, which was significantly lower than 23.53%in the control group (χ^2 =4.24,P=0.040).Conclusion The use of disposable cervical dilator in painless induced abortion of unmarried pregnancy can effectively dilate the cervix and reduce the incidence of induced abortion syndrome.

关 键 词：流产 人工 子宫颈 组织扩张装置 妊娠 无痛 人流综合征 

分 类 号：R16[医药卫生—公共卫生与预防医学]