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目的观察米索前列醇在无痛人工流产(以下简称人流)术中的临床效果。方法将米索前列醇联合异丙酚、芬太尼用于无痛人流术与异丙酚、芬太尼用于无痛人流术相对比。观察宫颈松弛扩张情况、宫缩幅度、术中出血量及术后阴道流血时间。结果两组宫颈均明显松弛扩张;宫缩幅度观察组明显大于对照组;术中出血量、术后阴道流血时间观察组明显小于对照组。结论无痛人流术前舌下含服米索前列醇0.6mg,可增强宫缩幅度,具有术中出血少、手术易于操作、术后阴道流血时间短等优点,值得临床推广。
Objective To observe the clinical effect of misoprostol in painless abortion (hereinafter referred to as abortion). Methods Misoprostol combined with propofol, fentanyl for painless abortion and propofol, fentanyl compared to painless abortion. Observation of cervical relaxation and expansion, contractions amplitude, intraoperative blood loss and postoperative vaginal bleeding time. Results The cervix of both groups were obviously relaxed and dilated. The observation group of contractions amplitude was significantly larger than that of the control group. The amount of bleeding and postoperative vaginal bleeding time in observation group were significantly less than those in control group. Conclusion Before the painless abortion subconjunctival misoprostol 0.6mg, can enhance the rate of uterine contractions, with less bleeding, the operation is easy to operate, postoperative vaginal bleeding time is short, worthy of clinical promotion.