仿生物电刺激在重复人工流产术后的应用价值  

The application value of biomimetic electrical stimulation after repeated artificial abortion

作　　者：韦彩素[1] 陈慧峰[1] 潘琦文[1] 李建湘[1] 冉丽芬[1] 蓝燕[1] Wei Caisu;Chen Huifeng;Pan Qiwen;Li Jianxiang;Ran Lifen;Lan Yan(Department of Gynecology,Hechi People's Hospital,Hechi Gugangxi 547000,P.R.China)

机构地区：[1]河池市人民医院妇科,广西河池547000

出　　处：《中国计划生育和妇产科》2021年第7期58-62,共5页Chinese Journal of Family Planning & Gynecotokology

基　　金：广东省至善妇儿健康关爱基金会--关爱女性健康基金项目“女性盆底功能障碍疾病”专项(项目编号:[2018]01035)。

摘　　要：目的探讨仿生物电刺激在重复人工流产术后的应用价值。方法选取因意外妊娠自愿在河池市人民医院行人工流产术的重复流产患者140例,术后根据患者意愿分为不干预的空白组32例,雌孕激素治疗的对照组48例,以及仿生物电刺激治疗的观察组60例。观察3组患者术后子宫恢复及宫腔粘连发生情况。结果术后观察组与对照组在阴道出血量、出血持续时间、月经复潮时间等方面均优于空白组(P均<0.05),观察组与对照组之间比较差异无统计学意义(P均>0.05);观察组和对照组术后10 d、21 d,月经复潮后第1、第2个月经周期的第14 d子宫内膜厚度和子宫内膜动脉血流阻力指数(resistance index,RI)均较空白组改善明显(P均<0.05),且观察组各时间段子宫动脉RI下降较对照组明显(P均<0.05),但两组各时间段子宫内膜厚度比较差异无统计学意义(P>0.05);术后6个月3组均出现宫腔粘连现象,观察组和对照组术后宫腔粘连总发生率差异虽无统计学意义(P>0.05),但均明显低于空白组(P均<0.05)。结论仿生物电刺激可以促进重复人工流产患者术后康复,并有效防止术后并发症,其可能成为替代雌孕激素治疗的新途径。Objective To explore the application value of biomimetic electrical stimulation after repeated artificial abortion.Methods A total of 140 cases of repeated abortions who had voluntarily undergone an artificial abortion in Hechi People’s Hospital due to unexpected pregnancy were selected.After the operation,they were divided into a blank group of 32 cases without intervention,a control group of 48 cases treated with estrogen and progesterone,and the observation of 60 cases group treated with electrical stimulation according to the wishes of the patients.Observed the postoperative uterine recovery and the occurrence of intrauterine adhesions in the 3 groups.Results The observation group and the control group were better than the blank group in terms of vaginal bleeding,bleeding duration,menstrual re-fluid time,etc.(P<0.05),but there was no statistically significant difference between the observation group and the control group(P>0.05);The observation group and the control group had higher endometrial thickness and endometrial artery blood flow resistance index(RI)than blank group on 10 d and 21 d after operation and the 14 th day of the first and second menstrual cycles(all P<0.05).Moreover,the uterine artery RI of the observation group decreased significantly at each time period compared with the control group(P<0.05),but there was no significant difference in the endometrial thickness between the two groups at each time period(P>0.05);There were intrauterine adhesions in 3 groups at 6 months after operation.Although the total incidence of intrauterine adhesions between the observation group and the control group was not statistically significant(P>0.05),they were significantly lower than that of the blank group(P<0.05).Conclusion Biomimetic electrical stimulation can promote the postoperative recovery of patients with repeated artificial abortion and effectively prevent postoperative complications.It may become a new way to replace estrogen and progesterone therapy.

关 键 词：仿生物电刺激 重复人工流产术 

分 类 号：R714.21[医药卫生—妇产科学]