经皮电刺激辅助治疗药物流产后宫腔残留的效果  

Effects of adjuvant treatment with percutaneous electrical stimulation on uterine cavity residue after medical abortion

作　　者：李惠敏 陈茹 郭艳 崔红英 LI Huimin;CHEN Ru;GUO Yan;CUI Hongying(Dept.of Obstetrics and Gynecology,Hebi People′s Hospital,Hebi 458030,China)

机构地区：[1]鹤壁市人民医院妇产科,河南鹤壁458030

出　　处：《华夏医学》2023年第4期108-112,共5页Acta Medicinae Sinica

摘　　要：目的:探究下腹部经皮电刺激应用于药物流产后宫腔残留患者的效果。方法:药物流产后宫腔残留患者93例,以抽签法分为两组,对照组46例,给予米非司酮联合黄体酮胶囊治疗;观察组47例,在对照组基础上增加下腹部经皮电刺激治疗。分析两组的临床治疗效果、子宫修复情况、血流动力学以及安全性。结果:治疗后,观察组子宫内膜厚度大于对照组,宫腔残留物直径小于对照组,子宫血流动力学指标优于对照组,差异有统计学意义(P<0.05)。观察组宫腔组织残留率低于对照组,临床治疗总有效率95.74%高于对照组的80.43%(P<0.05)。结论:下腹部经皮电刺激辅助药物治疗流产后宫腔残留患者可改善子宫血流动力学,提高临床治疗效果。Objective:To investigate the effect of adjuvant treatment with percutaneous electrical stimulation on the lower abdomen in patients with uterine cavity residue after medical abortion.Methods:93 patients with uterine cavity residue after medical abortion were divided into two groups by lottery.46 patients in the control group were given mifepristone combined with progesterone capsules,while 47 patients in the observation group received percutaneous electrical stimulation on the lower abdomen on the basis of the control group.The clinical efficacy,uterine repair,hemodynamics and safety were compared between both groups.Result:After treatment,the thickness of the endometrium in the observation group was greater than that in the control group,and the diameter of uterine residue was smaller than that in the control group,the uterine hemodynamic indicators were better than those in the control group.The differences were statistically significant(P<0.05).The residual rate of uterine cavity tissue in the observation group was lower than that in the control group,and the total effective rate of clinical treatment was 95.74%higher than 80.43%in the control group(P<0.05).Conclusion:Percutaneous electrical stimulation of the lower abdomen as an adjunctive medication can improve uterine hemodynamics and clinical treatment outcomes in patients with residual uterine cavity after abortion.

关 键 词：下腹部经皮电刺激 药物流产 宫腔残留 米非司酮 

分 类 号：R714.21[医药卫生—妇产科学]