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目的:探讨米索前列醇配伍盐酸奥布卡因凝胶在未产妇人工流产术前中的应用效果。方法:将2011年1月至2012年1月在我院门诊自愿要求人工流产的早期妊娠未产妇女100例随机分为观察组和对照组各50例,观察组于人工流产术前采用米索前列醇配伍盐酸奥布卡因凝胶进行药物软化宫颈及局部麻醉后行人工流产术,对照组按常规人工流产术进行,比较两组的镇痛效果、宫颈扩张情况及人工流产综合征发生情况。结果:观察组有效镇痛率、宫颈扩张有效率和人工流产综合征发生率分别为90%、90%和40%,均显著低于对照组的16%、30%和90%,(P均<0.01)。结论:米索前列醇配伍盐酸奥布卡因凝胶在未产妇人工流产术前应用可明显松弛宫颈,术中镇痛效果确切,降低人流综合征的发生率,且操作简便,安全性好,建议临床推广应用。
Objective: To investigate the effect of misoprostol compatibility with buprenorphine hydrochloride gel in the prenatal induced abortion. Methods: From January 2011 to January 2012 in our hospital outpatient voluntary abortion induced abortion of early pregnant women 100 cases were randomly divided into observation group and control group of 50 cases, the observation group before the misuse of misoprostol Prothrombin Aconite hydrochloride gel for drug softening cervix and local anesthesia after artificial abortion, the control group by conventional abortion, compared the analgesic effect of the two groups, cervical dilatation and the incidence of induced abortion syndrome . Results: The effective analgesia rate, the effective rate of cervical dilatation and the incidence of induced abortion were 90%, 90% and 40% in the observation group, which were significantly lower than those in the control group (16%, 30% and 90%, respectively) <0.01). Conclusion: The combination of misoprostol and Aconcagine Hydrochloride gel can obviously relax cervix before artificial abortion. The analgesic effect in operation is exact and the incidence of flow syndrome is reduced. The operation is easy and safe, Recommended clinical application.