摘要
目的探讨在宫腔镜检查中软化、扩张宫颈中应用米索前列醇的效果。方法本次60例研究对象是2018年3月至2019年12月在本院行宫腔镜检查的患者,经双盲法分组,30例对照组在检查前3-18小时将0.40g甲硝唑片放置在阴道后穹隆处,另外30例观察组在检查前3-18小时将400μg米索前列醇放置在阴道后穹隆处,比较两组患者术中出血量、宫口扩张直径及人工流产综合征发生率。结果比较对照组,观察组术中出血量更低,宫口扩张直径更长,对比数据,差异性显著(P<0.05);比较对照组23.33%的综合征发生率,观察组6.67%的综合征发生率更低,对比数据,差异性显著(P<0.05);两组患者麻醉诱导量对比,差异性不明显(P>0.05);比较对照组,观察组手术时长更短,总用药量更少,对比数据,差异性显著(P<0.05)。结论在宫腔镜检查前3-18小时将400μg米索前列醇放置在阴道后穹隆处,能够有效软化宫颈,减少扩宫操作,降低人工流产综合征发生率,有临床推广价值。
Objective To study the effect of the application of misoprostol in the diagnosis of the softening and expansion of the cervix during hysteroscopy.Methods Sixty patients were examined by hysteroscopy from March 2018 to December 2019.30 patients in the control group placed 0.40g metronidazole tablets in the posterior vaginal fornix 3 hours before examination,and 30 patients in the observation group placed 400μg misoprostol in the posterior vaginal fornix 3 hours before examination.Dilatation diameter of uterine orifice and incidence of induced abortion syndrome.Results Compared with the control group,the amount of intraoperative bleeding and the diameter of uterine orifice dilatation in the observation group were lower and the diameter of uterine orifice dilatation was longer,the difference was significant(P<0.05),the incidence of syndrome in the control group was 23.33%,the incidence of syndrome in the observation group was lower,the difference was significant(P<0.05),and there was no significant difference in the amount of anesthesia induction between the two groups(P>0.05).Compared with the control group,the operation time was shorter and the total dosage was less in the observation group,and the difference was significant(P<0.05).Conclusion Placing 400μg misoprostol in the posterior vaginal fornix 3 hours before hysteroscopy can effectively soften the cervix,reduce the operation of uterine dilatation and reduce the incidence of induced abortion syndrome.
作者
雷翠连
LEI Cui-lian(Shaoguan Railway Hospital,Shaoguan,Guangdong 512026)
出处
《智慧健康》
2020年第11期130-132,共3页
Smart Healthcare
