米索前列醇联合心理干预用于人工流产的效果观察

Observation on the effect of misoprostol combined with psychological intervention on the treatment of the patients with induced abortion

目的研究米索前列醇联合心理干预用于人工流产的效果。方法选取温州医科大学附属第一医院2015年3月~2016年8月收治的200例宫内孕患者作为本研究的研究对象,随机分为对照组和试验组2组,每组患者各为100例。试验组患者在手术前2小时,应用碘伏冲洗阴道后,放置600ug米索前列醇放置于阴道后穹隆。手术前,护理人员需告知患者相关手术注意点,消除患者焦虑以及不安等负面情绪,提高治疗依从度。手术期间,护理人员需全程关注患者的心理状态。对照组患者进行利多卡因宫颈局部用药治疗。比较分析试验组与对照组患者的临床效果。结果试验组患者镇痛的显效率为38.0%,有效率为52.0%。对照组患者显效率为16.0%,有效率为49.0%。试验组患者镇痛效果显著高于对照组患者,差异具有统计学意义（P〈0.05）。试验组患者宫颈扩张显效率为45.0%,有效率为51.0%。试验组患者宫颈扩张程度显著优于对照组,术中出血量显著少于对照组患者,差异具有统计学意义（P〈0.05）。结论米索前列醇联合心理干预能够在很大程度上提高人工流产临床效果,缓解患者疼痛,缩短手术时间,具有临床进一步推广和应用的意义。

Objective To study the effect of misoprostol combined with psychological intervention on the patients with induced abortion. Methods200 cases with intrauterine pregnancy in the first affiliated hospital of Wenzhou medical university from March 2015 to August 2016 were selected as the research object in this study. They were randomly divided into the control group and the experimental group,100 cases in each group. After using iodophor to rinse the vagina,600 ug misoprostol were placed in posterior vaginal fornix in the experimental group 2 hours before operation. Before the operation,the nursing staff should inform the patient of the relevant surgical attention points,eliminate the negative emotions such as anxiety and anxiety,and improve the treatment compliance. During the operation,the nursing staff should pay attention to the psychological state of the patients. The control group were given lidocaine locally. The clinical efficacy in the groups were compared. Results After treatment,the analgesia obvious effective rate in the experimental group was 38%,the analgesia effective rate was 52%. The analgesia obvious effective rate in the control group was 16%,the analgesia effective rate was 49%. The analgesic effect in the experimental group was significantly higher than that in the control group,with statistical significance（ P 〈0. 05）. After treatment,the effective rate of cervical dilation in the experimental group was 45%,the effective rate was 66%. The degree of cervical dilatation in the experimental group was significantly better than that in the control group. The amount of intraoperative bleeding was significantly less than that in the control group, with statistical significance（ P〈 0. 05）. Conclusion Misoprostol combined with psychological intervention can improve the clinical effect of artificial abortion to a large extent,relieve the pain of patients and shorten the operation time.