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目的:探讨无痛人工流产术联合米索前列醇终止早孕的临床疗效。方法:将120例早孕妇女随机分为对照组和观察组各60例。对照组采用异丙酚无痛人工流产术,观察组在实行异丙酚无痛人工流产术前半小时在阴道后穹窿置入0.2 mg米索前列醇。比较两组的宫颈扩张情况、术中出血量、手术时间及术后流血时间。结果:观察组宫颈扩张总有效率为83.3%(50/60),对照组为61.6%(37/60),两组比较差异有统计学意义(P<0.01);观察组术中出血量、手术时间及术后流血时间均显著少于对照组(P<0.01)。结论:无痛人工流产术联合米索前列醇终止早孕对患者损伤小,手术时间短,可减轻患者痛苦,值得在临床推广。
Objective: To investigate the clinical efficacy of painless abortion combined with misoprostol to terminate early pregnancy. Methods: 120 cases of early pregnancy women were randomly divided into control group and observation group of 60 cases. In the control group, propofol painless artificial abortion was used. In the observation group, 0.2 mg misoprostol was placed in the posterior fornix at half an hour before the propofol painless induced abortion. The cervical dilatation, intraoperative blood loss, operation time and postoperative bleeding time were compared between the two groups. Results: The total effective rate of cervical dilation was 83.3% (50/60) in observation group and 61.6% (37/60) in control group, with significant difference between the two groups (P <0.01) The operation time and postoperative bleeding time were significantly less than the control group (P <0.01). Conclusion: Painless abortion combined with misoprostol to terminate early pregnancy has the advantages of less damage to the patient and shorter operative time, which can alleviate the suffering of the patient and is worthy of clinical promotion.