米非司酮在绝经后妇女取IUD中的应用及心理干预

Applications of mifepristone in postmenopausal women taking IUD and psychological intervention

目的探讨米非司酮在绝经后妇女取宫内节育器(IUD)中的应用及心理干预的效果。方法 480例绝经后取IUD的妇女,随机分为观察组和对照组,各240例。观察组术前给予米非司酮,实施个性化心理干预;对照组术前给予米非司酮,实施常规护理。观察比较两组宫颈软化程度、手术配合度、术中疼痛、取器时间。结果观察组宫颈软化程度略优于对照组,但差异无统计学意义(P>0.05)。观察组除5例因过度肥胖或放置IUD时间过长,粘连严重,造成配合度差外,其余235例术中配合情况较好。对照组26例患者配合度差,观察组术中配合情况优于对照组,差异具有统计学意义(P<0.05)。观察组取IUD术中疼痛程度轻于对照组,差异具有统计学意义(P<0.05)。观察组取IUD时间短于对照组,差异具有统计学意义(P<0.05)。结论在绝经后妇女取IUD中应用米非司酮并实施个性化心理干预,可软化宫颈,显著缩短取器时间,提高受试者手术配合度及减轻疼痛,值得在临床推广。

Objective To explore the effect of mifepristone in postmenopausal women taking intrauterine device（IUD） and psychological intervention. Methods A total of 480 postmenopausal taking IUD women were randomly divided into observation group and control group, with 240 cases in each group. The observation group received mifepristone before operation and personalized psychological intervention, and the control group received mifepristone before operation and conventional nursing. Observation and comparison were made on cervical softening degree, surgical coordination, intraoperative pain, instrument taking time in two groups. Results The observation group had slightly better cervical softening degree than the control group, but the difference had no statistical significance（P〈0.05）. In the observation group, 235 cases had better intraoperative coordination, except 5 cases had serious adhesion and poor coordination because of over obesity or long IUD time. The control group had 26 poor coordination cases, and the observation group had better intraoperative coordination than the control group, and the difference had statistical significance（P〈0.05）. The observation group had lighter pain degree in taking IUD surgery than the control group, and the difference had statistical significance（P〈0.05）. The observation group had shorter IUD taking time than the control group, and the difference had statistical significance（P〈0.05）. Conclusion In postmenopausal women, application and implement of mifepristone and individualized psychological intervention in taking IUD can soften the cervix, significantly shorten instrument taking time, improve the operation coordination and alleviate the pain of the subjects. It is worth popularizing in clinic.