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目的:观察无痛人流术中采用卡孕栓的临床效果。方法:选取我院2013年1月~2013年12月接诊的无痛人流术患者400例作为研究对象,随机均分为研究组与对照组,各200例。研究组患者术前采用卡孕栓处理,而对照组术前则不采用任何药物,对比分析两组患者临床疗效,包括术前宫口松弛度、手术时间、术中出血量及术后并发症等。结果:两组患者皆顺利完成手术,其中研究组宫口松弛总有效率为90.50%(181/200),对照组则为51.00%(102/200),组间对比差异性显著(P<0.01);研究组患者手术时间、术中出血量皆明显低于对照组,组间对比差异有统计学意义(P<0.05或0.01);研究组患者术后并发症发生9例,对照组发生13例,两组并发症发生率并无显著性差异(P>0.05),无统计学意义。结论:卡孕栓运用在无痛人流术中,可以改善宫口松弛度,同时减少手术时间与术中出血量,并且能减少手术并发症,值得借鉴。
Objective: To observe the clinical effect of using carbamazepine in painless abortion. Methods: 400 cases of painless abortion admitted from January 2013 to December 2013 in our hospital were randomly divided into study group and control group, with 200 cases each. Patients in the study group were treated with carbamazepine preoperatively, while patients in the control group were not given any drugs before surgery. Clinical efficacy of the two groups were compared, including preoperative cervix laxity, operation time, intraoperative blood loss and postoperative complications Wait. Results: The two groups of patients completed the operation successfully, in which the total effective rate of cervix relaxation was 90.50% (181/200) in the study group and 51.00% (102/200) in the control group, the difference was significant (P <0.01 ). The operation time and intraoperative blood loss were significantly lower in the study group than in the control group, with significant difference between the two groups (P <0.05 or 0.01). There were 9 cases of postoperative complications in the study group and 13 cases in the control group For example, there was no significant difference in the incidence of complications between the two groups (P> 0.05), with no statistical significance. Conclusion: The use of captopril in painless abortion, can improve the cervix laxity, while reducing the operation time and intraoperative blood loss, and can reduce the surgical complications, it is worth learning from.