无痛人工流产术前加用卡孕栓的手术效果研究

摘要

Objective To investigate the operation effect of cardiopulmonary suppository before painless artificial abortion. Methods 300 patients with painless artificial abortion were enrolled in our hospital from August 2013 to October 2016. They were divided into control group and observation group according to randomized and double-blind way. The patients in the control group were not given any drugs before operation.The patients in the observation group were placed preoperatively in the posterior vagina. The cervical relaxation, expansion time, intraoperative blood loss, analgesic effect and induced abortion syndrome Happening were observed in the two groups. Results The cervical relaxation rate in the observation group was 132/150 (88.00%),which was significantly better than that of the control group 83/150 (55.33%), the difference was statistically significant (P<0.05). The effective rate of analgesia in the observation group was 94.67%, significantly higher than that in the control group 70% . In the observation group, the time of dilatation was (31.6±3.59) s, intraoperative blood loss was (8.9±3.12) mL, and the incidence of induced abortion syndrome was 2.67%, which were significantly better than those in the control group, the time of dilatation (53.2±4.21) s, intraoperative blood loss (14.9±3.96) mL, abortion syndrome occurred 25.33% , the difference was statistically significant (P<0.05). Conclusion The painless artificial abortion before the use of preoperative suppository, can effectively expand the patient's cervix, reduce the operation time, and effectively reduce the amount of intraoperative blood loss, painless abortion is an effective relief of patient suffering drug.%目的 探讨无痛人工流产术前加用卡孕栓的手术效果.方法 抽取溧阳市妇幼保健院2013年8月~2016年10月接受的无痛人工流产术患者300例,依照随机、双盲的方式将其分为对照组与观察组,对照组患者术前不给予任何药物,观察组患者术前于阴道后穹窿放置卡孕栓,观察2组患者宫颈松弛、扩宫时间、术中出血量、镇痛效果以及人工流产综合征发生情况.结果 观察组患者其宫颈松弛率为132/150(88.00%)显著优于对照组患者宫颈松弛率83/150(55.33%),差异有统计学意义(P<0.05);观察组患者镇痛显效率为94.67%显著优于对照组患者70.00%;观察组患者扩宫时间(31.6±3.59)s、术中出血量(8.9±3.12)mL、人工流产综合征发生情况2.67%,均显著优于对照组患者扩宫时间(53.2±4.21)s、术中出血量(14.9±3.96)mL、人工流产综合征发生情况25.33%,差异有统计学意义(P<0.05).结论 无痛人工流产术前加用卡孕栓,能够有效扩张患者宫颈、减少手术时间、并有效减少术中出血量,在无痛人工流产术中是一种有效缓解患者痛苦的药物.