芬吗通用于49例稽留流产刮宫术后对患者子宫内膜修复的临床效果

Effect of fentanyl on endometrial repair in49patients of missed abortion

目的探讨芬吗通用于稽留流产刮宫术后对患者子宫内膜修复的临床效果。方法选取天津市第五中心医院2015年6月～2016年6月诊治的98例稽留流产患者，按照随机抽签原则分为2组，每组49例。对照组在刮宫术后予以常规治疗，研究组则在对照组基础上使用芬吗通，比较2组患者术后阴道流血量、流血时间、术后2w子宫内膜厚度、术后B超检查结果以及并发症发生率。结果研究组患者术后阴道流血量、流血时间分别是（44.39±9.86）mL、（2.94±1.35）d，优于对照组的（69.78±12.83）mL、（6.15±1.57）d，差异均有统计学意义（P＜0.01）。研究组患者术后2w的子宫内膜厚度是（7.31±1.39）mm，优于对照组患者的（4.68±1.67）mm（P＜0.05）；经B超检查，研究组患者并发症发生率是4.08%，低于对照组的18.37%（P＜0.05）。结论芬吗通用于稽留流产刮宫术后对患者子宫内膜修复的临床效果突出，安全性较高。

Objective To investigate the clinical effect of fentanyl on endometrial repair in patients after missed abortion.Methods98cases of missed abortion patients treated in Tianjin Fifth Central Hospital from June2015to June2016were selected,in accordance with the principles were randomly divided into two groups,with49cases in each group.The control group was treated with routine treatment after the uterine curettage,the study group on the basis of the control group used femonston.The postoperative vaginal bleeding,the bleeding time,the endometrial thickness after two weeks after operation,the results of postoperative B ultrasonic examination and the incidence of complications were compared between the two groups.Results The postoperative vaginal bleeding time,bleeding volume were in the study group patients were(44.39±9.86)mL,(2.94±1.35)d,better than the control group(69.78±12.83)mL,(6.15±1.57)d(P<0.01).The endometrial thickness after two weeks after operation in study group was(7.31±1.39)mm,which was better than that of the control group(4.68±1.67)mm(P<0.05).After B ultrasound examination,the incidence rate of complications in study group was4.08%,which was lower than18.37%in the control group(P<0.05).Conclusion It is universal to Finland missed abortion curettage after clinical effect for patients with endometrial repair is outstanding,with high safety.