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目的探讨稽留流产刮宫术前米索前列醇不同用药途径效果。方法舌含组:舌下含化米索前列醇0.2mgq8h,采用三个8(第一天早8点、晚8点,第二天早8点);口服用药组:服米索前列醇600ug(术前2～4h空腹,凉开水送服);阴道用药组:后穹窿放置米索前列醇600ug(术前2h,放置后仰卧20min)。结果舌下含服组宫颈松弛及手术时间等明显优于口服用药组。结论舌下含服药物简单,易为广大孕妇所接受,有效避免阴道给药可能出现的潜在感染,提高了治疗有效率,值得临床广泛推广。
Objective To investigate the effect of different misoprostol administrations before missed abortion. Methods Tongue containing group: sublingual misoprostol 0.2mgq8h, using three 8 (the first day as early as 8 o’clock, 8 o’clock in the evening, the next morning 8 o’clock); oral medication group: taking misoprostol 600ug (Preoperative 2 ~ 4h fasting, cold water delivery); vaginal medication group: placed in the posterior fornix misoprostol 600ug (preoperative 2h, placed supine 20min). Results Sublingual group of cervical relaxation and operation time was significantly better than the oral medication group. Conclusion Sublingual medication is simple and easy to accept for the majority of pregnant women, effectively avoiding the potential infection of vaginal delivery and improve the treatment efficiency, it is worth widely clinical promotion.