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目的探讨术前使用米索前列醇在人工流产中的临床疗效。方法选取2008—2012年在桐乡市石门镇中心卫生院收治的自愿接受人工流产孕妇1600例,随机分为观察组和对照组,各800例。观察组术前服用米索前列醇0.6mg,对照组术时采用宫颈注射2%利多卡因4ml,比较两组孕妇的宫颈扩张程度、疼痛程度、手术时间、术中出血量及手术并发症发生情况。结果观察组宫颈扩张程度优于对照组、疼痛程度轻于对照组、手术时间短于对照组、术中出血量少于对照组、人工流产综合征和术中出血发生率低于对照组,差异有统计学意义(P<0.05)。结论人工流产术前口服米索前列醇利于宫颈充分扩张、减轻疼痛,且降低了并发症发生率,子宫恢复更快。
Objective To investigate the clinical efficacy of misoprostol preoperatively in induced abortion. Methods A total of 1600 pregnant women admitted to Shimen Town Central Hospital in Tongxiang City from 2008 to 2012 were randomly divided into observation group and control group with 800 cases each. In the observation group, misoprostol 0.6 mg was preoperatively administered, while in the control group, 2% lidocaine 2% was injected into the cervix. The cervical dilatation, pain degree, operation time, intraoperative blood loss and complications were compared between the two groups Happening. Results The degree of cervical dilatation in the observation group was better than that in the control group. The pain degree was lighter than that in the control group. The operation time was shorter than that in the control group. The blood loss in the observation group was less than that in the control group. The incidence of induced abortion syndrome and intraoperative bleeding was lower than that in the control group. There was statistical significance (P <0.05). Conclusions Oral misoprostol before induced abortion is beneficial to cervical full expansion, relieve pain, and reduce the incidence of complications, uterine recovery faster.