米索前列醇阴道给药加宫颈表面麻醉用于人工流产的临床研究

The Clinical Study of Induced Abortion with Misoprostol Putting in the Vagina and Cervix Surface for Anesthesia

目的:探讨米索前列醇阴道给药加宫颈表面麻醉用于早孕人工流产的临床效果。方法:将早孕患者随机分成观察组和对照组两组,每组100例,观察组人工流产术前2h将米索前列醇0.6mg放置阴道后穹窿,手术时行宫颈表面麻醉,对照组行传统人工流产术,比较两组流产过程中宫颈扩张难易程度,腹痛情况,阴道流血情况,手术时间,完全流产率及术后不良反应等指标。结果:与对照组相比,观察组的宫颈扩张成功率高,手术时间短,术中出血少,术中疼痛程度轻及术后出血时间短,与对照组相比有显著差异性,完全流产率达100%,未出现并发症。结论:米索前列醇术前阴道给药,加术时宫颈表面麻醉法终止早孕,可扩张宫颈,降低手术难度,手术时间短,术中疼痛程度轻,术中出血少,术后出血时间短。

Objective： To study the clinical effect of inducing abortion in early pregnacy with misoprostol putting in the vagina and cervix surface for anesthesia. Method： Divided the people in early prenancy into two groups： observation group and control group, each group with 100 people. People in observation group were putted misoprostol 0.6mg in the posterior fornix 2 hours before induced abortion and surface anesthesia in the cervix when operation; people in control group accept traditional induced abortion, then compared the indexs about the extention degree of the cervix, abdominal pain, colporrhagia, operation time, completely abortion rate and adverse reaction after operation, et al. Result： Comparing with the control group, the observation group have high success rate in cervix extention, short operation time, little bleeding and pain during operation, short bleeding time after operation, completely abortion rate was 100%, There＇s no complication, which has a remarkable diversity. Conclusion： Putting misoprostol in the posterior fornix before induced abortion and surface anesthesia in the cervix when operation can extend cervix, reduce the difficulty of operation, shorten operation time, relieve pain, reduce bleeding, and so on.