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目的分析米索前列醇联合碧兰麻在人工流产中的疗效。方法随机抽取观察组和对照组各100例,观察组术前4 h口服米索前列醇600μg,术前2 min,于宫旁3点、9点处,注射碧兰麻1.7 mL后行负压吸引术;对照组术前4 h口服米索前列醇600μg,行负压吸引术。结果观察组100(100%)例患者均无疼痛;对照组中15(15%)例中度疼痛,73(73%)例轻度疼痛,12(12%)例无疼痛;观察组98(98%)例能直接插入7号宫颈扩张器,2(2%)例直接插入6号宫颈扩张器;对照组97(97%)例能直接插入7号宫颈扩张器,3(3%)例直接插入6号宫颈扩张器;观察组手术时间与对照组相比明显缩短,出血量与对照组相比明显减少(P<0.05);观察组无PASS的发生,对照组发生PASS 3例。结论米索前列醇联合碧兰麻能有效松弛宫颈,避免术中疼痛,预防人工流产综合征的发生,减少术中出血量,缩短手术时间,适宜基层医院推广和应用。
Objective To analyze the curative effect of misoprostol combined with marigold abortion in induced abortion. Methods 100 cases in observation group and control group were randomly selected. The observation group received oral administration of 600 μg of misoprostol 4 hours before operation, 2 minutes before operation, In the control group, 600 μg of misoprostol was administered orally 4 hours before operation, and negative pressure was used. Results None of the 100 (100%) patients in the observation group had pain; in the control group 15 (15%) had moderate pain, 73 (73%) had mild pain and 12 (12%) had no pain; 98%) were able to insert directly into cervical dilator 7 and 2 (2%) directly into cervical dilator 6. However, 97 (97%) of patients in control group were able to directly insert into cervical dilator 7 and 3 (3%) Directly into the cervical dilator on the 6th; observation group operation time was significantly shorter compared with the control group, the amount of bleeding was significantly reduced compared with the control group (P <0.05); no PASS in the observation group occurred in the control group PASS 3 cases. Conclusion Misoprostol combined with beilan can effectively relax the cervix, avoid intraoperative pain, prevent the occurrence of induced abortion syndrome, reduce the amount of intraoperative bleeding and shorten the operation time, and is suitable for the promotion and application of primary hospitals.