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目的:探讨双异丙酚辅以舌下含服米索前列醇在无痛人工流产中的临床效果。方法:选择自愿要求无痛人流而无禁忌症的早孕妇女75例随机分为观察组(40例)和对照组(36例)。前者在双异丙酚行无痛人工流产前30min,舌下含服米索前列醇片200μg,后者仅用双异丙酚静脉麻醉,观察两组的镇痛效果、宫颈扩张松弛情况、子宫收缩情况及术中出血量。结果:两组镇痛效果良好,观察组宫颈松弛程度明显优于对照组(P<0.01),子宫收缩优于对照组(P<0.05),阴道出血量明显少于对照组(P<0.01)。结论:无痛人工流产术前加用米索前列醇可增强子宫收缩,能有效扩张宫颈,手术易于操作,术中出血少,是一种无痛苦、提高手术质量、减少手术并发症的一种好方法,值得临床推广应用。
Objective: To investigate the clinical effect of dual propofol supplemented with sublingual misoprostol in painless induced abortion. Methods: 75 pregnant women who volunteered to have painless and no contraindications were randomly divided into observation group (40 cases) and control group (36 cases). The former in propofol painless artificial abortion 30min, sublingual misoprostol 200μg, the latter only with propofol intravenous anesthesia, analgesic effect was observed in both groups, cervical relaxation and relaxation, the uterus Shrinkage and intraoperative blood loss. Results: The analgesic effect was good in both groups. The degree of cervix relaxation in the observation group was significantly better than that in the control group (P <0.01), and the uterine contractions were better than those in the control group (P <0.05). The amount of vaginal bleeding was significantly less than that in the control group (P <0.01) . Conclusion: Adding misoprostol before painless induced abortion can enhance uterine contractions and effectively expand the cervix. It is easy to operate and has less bleeding during operation. It is a kind of painless, improving operation quality and reducing the complication of operation A good way, it is worth clinical application.