两种人流方式终止早孕的临床观察

Clinical Observation of Terminate Pregnancy by Two Abortion Methods

目的观察传统人流与无痛人流终止早孕的临床效果。方法将420例要求终止早孕者,分为无痛人流组术(A组)220例和传统人流术组(B组)200例,比较两组镇痛效果、出血量、宫颈软化情况、人流综合征发生等。结果两组年龄、孕产次、流产效果比较,差异无统计学意义(χ2=2.345、χ2=2.014、χ2=2.311,P均>0.05);A组0级、Ⅰ级、Ⅱ级疼痛程度明显低于B组(χ2=7.123、χ2=7.245、χ2=7.333,P均<0.001);A组出血量(20.21±3.33)mL与B组出血(22.98±3.31)mL,差异无统计学意义(t=1.453,P>0.05);A组术中无阻力扩宫的例数均明显多于B组(χ2=7.145,P<0.01);B组人流综合征发生多于A组(χ2=6.785,P<0.01)。结论无痛人流镇痛效果确切,苏醒迅速、安全,较传统人流更为广大孕妇所接受。

Objective To observe the terminating early pregnancy＇s clinical effect of the the painless artificial abortion and the traditional artificial abortion.Methods 420 cases with terminate the pregnancy were divided into painless artificial abortion（A group）220 cases and traditional abortion group （B group） 200 cases,The index of analgesia,blood loss,cervical softening conditions,flow syndrome were compared.Results There were age,pregnancy views,abortion effects were not difference significant （χ^2=.345,χ^2=2.014,χ^2=2.311,all P〉0.05）;The pain degree of 0 grade,Ⅰ grade,Ⅱ grade in group A were obvious lower than B group（χ^2=7.123,χ^2=7.245,χ^2=7.333,,all P0.001）.The blood loss （20.21±3.33）mL in group A and （22.98±3.31）mL in group B were not difference significant（t=1.453,P〉0.05）;The cases of no resistance to expanding in group A were significantly more than B group（χ^2=.145,P〈0.01）;Abortion syndrome take place in group B were more group A（χ^2=.785,P〈0.01）.Conclusion Analgesic effect of the painless artificial abortion,regained consciousness quickly,safely,more than the traditional artificial abortion in the people accepted by the vast numbers of women.