米索前列醇联合超导可视无痛人流术在伴随高危人流因素初孕妇中的应用效果

Application effect of Misoprostol combined with superconducting visual painless abortion infirst-time pregnant women with high risk abortion factors

目的探索高危人流因素初孕妇采取米索前列醇联合超导可视无痛人流术的临床效果及对宫颈扩张的影响。方法选取100例伴有高危人流因素接受无痛人流的初孕妇,根据随机数字表法分为对照组与试验组,每组50例。对照组初孕妇接受常规无痛人流术,试验组初孕妇接受米索前列醇联合超导可视无痛人流术。比较两组宫颈扩张效果、手术指标、生活质量及并发症发生情况。结果试验组宫颈扩张总有效率92.00%明显高于对照组的76.00%,差异具有统计学意义(P<0.05)。试验组手术时间短于对照组,术中出血量少于对照组,差异具有统计学意义(P<0.05)。手术前,两组生活质量评分比较,差异无统计学意义(P>0.05);手术后,两组生活质量评分均高于手术前,且试验组明显高于对照组,差异具有统计学意义(P<0.05)。试验组并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论存在高危人流因素初孕妇采用米索前列醇联合超导可视无痛人流术的效果优于常规无痛人流术,初孕妇宫颈扩张效果更好,手术时间更短,相关并发症更少,术后更利于提高初孕妇生活质量,值得临床推广。

Objective To explore the clinical effect of misoprostol combined with superconducting visual painless abortion for pregnant women at high risk of abortion and its effect on cervical dilation.Methods 100 first-time pregnant women who underwent painless abortion with high-risk abortion factors were selected and divided into control group and experimental group according to random number table method,with 50 cases in each group.The control group received conventional painless abortion,and the experimental group received misoprostol combined with superconducting visual painless abortion.The effects of cervical dilation,surgical indexes,quality of life and complications were compared between the two groups.Results The total effective rate of cervical dilation in experimental group was 92.00%,which was significantly higher than that in control group(76.00%),and the difference was statistically significant(P<0.05).The operation time of experimental group was shorter than that of control group,and the intraoperative blood loss was less than that of control group,the difference was statistically significant(P<0.05).Before operation,there was no significant difference in quality of life scores between the two groups(P>0.05).After surgery,life quality scores in both groups were higher than before surgery,and the test group was significantly higher than the control group,the difference was statistically significant(P<0.05).The complication rate of experimental group was lower than that of control group,and the difference was statistically significant(P<0.05).Conclusion The effect of misoprostol combined with superconducting visual painless abortion infirst-time pregnant women is superior to the conventional painless abortion.The effect of cervical dilation in first-time pregnant women is better,the operation time is shorter,the related complications are less,and the postoperative effect is more conducive to improving the quality of life offirst-time pregnant women,which is worthy of clinical promotion.