摘要
目的:观察和探讨B超监测人工流产术结合口服米非司酮对人工流产并发症的预防作用。方法:选择本院自2011年7月至2013年3月接诊的146例接受人工流产的患者中符合纳入及排除标准的146例预约手术随机分为观察组与对照组两组,每组各73例。观察组在对照组基础上术前晚8时空腹口服米非司酮150mg(6片),第2日晨8时在芬太尼联合丙泊酚静脉麻醉并在并用B超监测下实施无痛人工流产术。对照组直接釆用芬太尼联合丙泊酚实施无痛人工流产术。统计两组手术时间、术时出血量以及术中、术后并发症并进行比较。结果:观察组手术时间和失血量分别为(4.7±2.0)min和(108±15.5)m L,对照组为(5.6±2.6)min和(121±21.8)m L,两组相比,差异具有统计学意义(P<0.05);观察组并发症发生率明显低于对照组,,差异具有统计学意义(P<0.05)。结论:术前口服米非司酮结合B超实时监测人工流产术,缩短了手术时间、减少了出血量,并降低组织物残留、漏吸、月经减少等现象,可有效的预防人流并发症的发生,适用于临床无痛流产手术,值得临床推广。
Objectives： To observe and explore the complications prevention of B ultrasonic monitoring combined with oral mifepristone on induced abortion. Methods： 146 patients undergoing artificial abortion,in accordance with Met inclusion and exclusion criteria in our hospital from July 2011 to March 2013,were selected and randomly divided into observation group（ 73 cases） and control group（ 73 cases）. On the basis of control group,the group was given oral mifepristone on an empty stomach at the night before the operation. In the second day morning,the painless abortion would be done and be monitored by B ultrasound. The control group only received the painlessabortion. Operation time,intraoperative blood loss and postoperative complications incidence of the two groups were observed and compared. Results： Operative time and blood loss were（ 4. 7 ± 2. 0） min and（ 108 ± 15. 5） m L in the observation group,and were（ 5. 6 ± 2. 6） min and（ 121 ± 21. 8） m L in the control group,with statistically significant difference（ P〈 0. 05）. The incidence of complications in the observation group was significantly lower than that in the control group,with statistically significant difference（ P〈 0. 05）. Conclusions： B ultrasound real- time monitoring of artificial abortion operation combined with postoperative oral mifepristone can effectively prevent complications,which can be applied to clinical painless abortion and worthy promotion.
出处
《中国性科学》
2015年第3期101-103,共3页
Chinese Journal of Human Sexuality
关键词
B超
米非司酮
人工流产
术后并发症
B ultrasonic
Mifepristone
Induced abortion
Postoperative complication
