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目的 :总结人工流产术中三种方法对早孕妇女宫颈扩张的临床效果。方法 :对 2 40例应用电子扩宫仪 (A组 )、米索前列醇 (B组 )、利多卡因 (C组 ) ,以及设对照组 (D组 )进行临床比较。 4组对象临床特征基本相同 ,P>0 .0 5 ,有可比性。结果 :三种扩宫方法均有明显的宫颈扩张效果和镇痛效果 ,而对照组的中、重度腹痛明显高于 A、B、C三组 ,P<0 .0 1。人工流产综合征的发生率分别为 1.47% ,4.35 % ,0 ,11.86 %。电子扩宫仪和米索前列醇可促使子宫收缩 ,减少术中出血量。结论 :三种扩宫方法用于人工流产术具有扩张宫颈和镇痛效果 ,是安全、简便、有效的方法。
Objective: To summarize the clinical effects of three methods in abortion on cervical dilatation in pregnant women. Methods: Clinical comparisons were performed in 240 patients who underwent ESR (group A), misoprostol (group B), lidocaine (group C), and control group (group D). The clinical characteristics of the four groups of patients were basically the same, P> 0.05, comparable. Results: The three methods of dilatation of the cervix had obvious cervical dilation effect and analgesic effect, while the moderate and severe abdominal pain of the control group was significantly higher than that of the three groups (P <0.01). The incidence of induced abortion syndrome were 1.47%, 4.35%, 0, 11.86%. Electronic dilatation meter and misoprostol can promote uterine contraction, reduce the amount of intraoperative bleeding. Conclusion: The three methods of dilatation of the uterus for abortion have the effect of dilating cervix and analgesia, which is a safe, simple and effective method.