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目的探讨异丙酚配伍米索前列醇对哺乳期瘢痕子宫患者无痛人流的临床效果,关注治疗后患者焦虑情况的差别。方法选取我站136例哺乳期瘢痕子宫早孕患者,分为观察组68例与对照组68例,观察组患者应用异丙酚配伍米索前列醇进行人工流产术治疗,对照组单纯应用异丙酚进行人工流产术治疗,分析两组临床特征的不同,观察两组术后焦虑情绪评分的差别。结果观察组患者的手术时间明显短于对照组,手术中出血量明显少于对照组,观察组宫颈松弛率明显提高,人流综合征发生率明显下降,焦虑评分明显低于对照组。结论哺乳期瘢痕子宫早孕患者的子宫与胚胎的比例不同,常引起手术困难及应激反应增强,应用异丙酚配伍米索前列醇,可以改善患者的临床指标,并改善术后焦虑情绪,临床治疗中可以应用。
Objective To investigate the clinical effect of propofol with misoprostol on painless uterine patients during lactation, and pay attention to the difference of anxiety after treatment. Methods We selected 136 patients with early stage of uterine scar of breast-feeding in our hospital and divided them into 68 cases in the observation group and 68 cases in the control group. The patients in the observation group were treated with artificial abortion with propofol and misoprostol. In the control group, propofol The treatment of artificial abortion, analysis of the clinical characteristics of the two groups were different, the difference between the two groups were observed anxiety scores. Results The operation time of the observation group was significantly shorter than that of the control group. The bleeding volume during the operation was significantly less than that of the control group. The relaxation rate of the cervix in the observation group was significantly increased. The incidence of the flow syndrome was significantly decreased. The anxiety score was significantly lower than that of the control group. Conclusion The ratio of uterus to embryo in patients with early uterine scar during lactation is different, which often leads to the difficulty of operation and the increase of stress response. Using propofol combined with misoprostol can improve the clinical indexes of patients and improve the postoperative anxiety, clinical Treatment can be applied.