米索前列醇联合心理干预用于瘢痕子宫流产临床观察

Clinical observation of misoprostol combined with psychological intervention in scar miscarriage

目的 本次实验将讨论米索前列醇联合心理干预用于瘢痕子宫流产临床效果,并关注其使用安全性。方法 本次实验选取了2016年6月-2016年12月在宝鸡市妇幼保健院进行终止妊娠的100例瘢痕子宫患者为研究对象,随机分为对照组和观察组,对照组采用常规治疗,即使用利多卡因宫颈进行局部用药;观察组患者则在术前2小时进行规阴道蓝氧冲洗后于后穹隆放置米索前列醇片600μg进行治疗。结果 观察组患者在手术过程中,术中出血量、镇痛程度、手术时间以及宫口松弛度上均优于对照组,两组比较差异具有统计学意义（P〈0.05）。结论 采用米索前列醇联合心理干预用于瘢痕子宫流产具有较高的安全性,且通过心理干预能够帮助患者缓解术中疼痛度,提高配合,有利于减少人工流产综合征的发生,值得在临床过程中推广应用。

Objective This experiment will discuss misoprostol combined with psychological intervention for scar uterus abortion effect, and concern for the use of security. Methods The experiment selected from June 2016 to December 2016 in our hospital for termination of gestation in 100 cases of patients with cicatricial uterus as the research object, were randomly divided into control group and observation group, control group using conventional treatment, which USES the local administration of lidocaine cervical to;While the observation group of patients with preoperative after flushing after 2 hours to gauge the vagina blue oxygen dome placing misoprostol tablets, 600 μg for treatment. Results Observation group of patients during surgery, intraoperative blood loss, pain degree, operation time and palace mouth sags were superior to control group, significant difference, the two groups have statistical significance （P〈0.05）. Conclusion Using misoprostol combined psychological intervention for scar uterus abortion has high security, and through psychological intervention can help patients relieve intraoperative pain degree, improve the coordination, is beneficial to reduce the occurrence of induced abortion syndrome, is worth popularizing in the process of clinical application.