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目的:探讨米索前列醇、布托啡诺、地西泮联合应用对人工流产吸宫术的临床价值。方法:选择2009年1～5月本院收治要求终止妊娠,孕龄40～70d的妇女100例,采用米索前列醇软化宫颈,促进子宫收缩,减少出血,布托啡诺镇痛,地西泮镇静后行吸宫术,将相关技术指标与同期相匹配的200例芬太尼、丙泊酚静脉麻醉辅助吸宫术组进行对比。结果:观察组镇痛有效率与对照组相近(P>0.05),观察组松弛宫颈(有效率94%)、手术用时(56.23±4.85)s、术中出血量(9.48±3.48)ml、术后子宫缩复(2.18±0.63)cm、术后阴道流血停止时间(4.36±1.32)d等指标均优于对照组(P<0.01),但是术后观察时间明显长于对照组(P<0.01)。结论:米索前列醇、布托啡诺、地西泮联合应用在人工流产吸宫术中有较好的临床价值,适用于基层医院。
Objective: To investigate the clinical value of combination of misoprostol, butorphanol and diazepam on induced abortion. Methods: From January to May 2009, 100 cases of women who require termination of pregnancy and gestational age from 40 to 70 days were enrolled in this hospital. Misoprostol was used to soften the cervix and promote uterine contractions, reduce bleeding, butorphanol analgesia, Panpai line after the line aspiration, the relevant technical indicators with the same period matching 200 cases of fentanyl, propofol assisted anesthesia assisted aspiration group compared. Results: The effective rate of analgesia in the observation group was similar to that in the control group (P> 0.05). The relaxation cervix (effective rate 94%), operation time (56.23 ± 4.85) s, blood loss in operation (9.48 ± 3.48) (2.18 ± 0.63) cm and postoperative vaginal bleeding time (4.36 ± 1.32) d were better than the control group (P <0.01), but the observation time after operation was significantly longer than that of the control group (P <0.01) ). Conclusion: The combination of misoprostol, butorphanol and diazepam has good clinical value in abortion aspiration and is suitable for primary hospitals.