阴道内置与舌下含服米索前列醇在门诊无痛人流手术中的临床比较

Clinical comparison of vaginal insertion and sublingual administration of misoprostol in outpatient painless abortion surgery

目的分析在门诊无痛人流手术过程中,对其采用阴道内置与舌下含服米索前列醇的临床效果对比。方法选取94例行无痛人流手术患者作为研究对象,采用随机抽样法按照1:1比例分为对照组及观察组,每组47例。两组患者手术前均使用米索前列醇,对照组实施阴道内置给药,观察组实施舌下含服给药。对比两组患者的手术时间、术中出血量以及不良事件发生情况。结果观察组患者的手术时间短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05)。观察组患者不良事件发生率2.13%显著低于对照组的14.89%,差异有统计学意义(P<0.05)。结论门诊实施无痛人流手术时舌下含服米索前列醇能够有效缩短手术时间,通过采取特定的措施,可以显著减少手术过程中的出血量,并降低不良事件发生率。

Objective This study aimed to analyze the clinical effects of vaginal insertion and sublingual administration of misoprostol during outpatient painless abortion surgery for pregnancy termination.Methods 94 patients who underwent painless abortion surgery were selected as the research subjects and divided into control group and observation group in a l:1 ratio using random sampling method,47 cases in each group.Both groups received misoprostol before the surgery,while the control group received vaginal administration and the observation group received sublingual administration.The surgical time,intraoperative blood loss,and incidence of adverse events were compared between the two groups.Results The operative time of observation group was significantly shorter than that of control group,and the amount of intraoperative blood loss was significantly less than that of control group,with statistical significance(P<0.05).The incidence of adverse events in observation group(2.13%)was significantly lower than that in control group(14.89%),and the difference was statistically significant(P<0.05).Conclusion Sublingual administration of misoprostol during outpatient painless abortion surgery can effectively shorten the surgical time.By taking specific measures,the intraoperative blood loss can be significantly reduced and the incidence of adverse events can be reduced.