摘要
目的研究超声引导下无痛人工流产术后疗效。方法选择我院于2016年3月~2017年3月间收治的92例意外怀孕患者,所有患者均自愿同意接受人工流产手术,采用随机数字表法划分为两组,分别为实验组与对照组,每组各46例,实验组患者采用超声引导下无痛人工流产术治疗,对照组患者采用常规无痛人工流产手术治疗,评价两组患者手术指标、术后并发症、术后疼痛、焦虑评分及满意度。结果实验组患者术后并发症发生率为3例(6.52%),低于对照组15例(32.61%)(χ~2=21.627,P <0.05)。实验组患者手术用时、术中出血量、术中出入宫腔次数、术后阴道流血持续用时均短于对照组(t=37.088、31.842、32.214、12.087,P <0.05)。术前两组患者焦虑评分比较差异无统计学意义(t=0.313,P=0.755);术后实验组患者焦虑评分优于对照组(t=33.092,P <0.05);且两组患者术后焦虑评分较术前均得到较好改善,差异有统计学意义(t=66.900、38.976,P <0.05)。实验组患者术后疼痛评分明显低于对照组(t=37.612,P <0.05)。实验组46例患者对手术结果满意度为44例(95.65%),高于对照组33例(71.74%)(χ~2=20.946,P <0.05)。结论相较于传统无痛人工流产,采用超声引导下无痛人工流产术治疗后患者并发症发生率相对较低,患者手术用时、术中出血量、术后阴道流血时间均较短,改善患者焦虑情绪,缓解疼痛、满意度高。
Objective To explore the therapeutic effect of ultrasound-guided painless induced abortion. Methods Ninety-two unplanned pregnancy women treated in ore＂ hospital from March 2016 to March 2017 were selected. All the patients voluntarily received the induced abortion. Aecording to the random number table, the subjects were assigned to experimental group and control group, 46 cases in each group. The experimental group was treated with ultrasound-guided painless induced abortion, while the control group was treated with conventional painless induced abortion. The operation index, postoperative complications, pain scores, anxiety scores and clinical satisfaction were evaluated. Results The incidence rate of complications of experimental group（6.52%, 3 eases） was significantly lower than that of control group（32.61%, 15 eases）, x2=21.627, P 〈 0.05. The operation time, intraoperative bleeding volume, fi＇equeney of going in and out of the uterine cavity and duration of vaginal bleeding of experimental group were significantly better than those of control group（t=37.088, 31.842, 32.214, 12.087, P 〈 0.05）. There was no significant difference in anxiety scores between the two groups before operation（t=0.313, P=0.755）. The anxiety score of the experimental group was better than that of the control group（t=33.092, P 〈 0.05）, The postoperative anxiety scores of the two groups were better than those of the preoperative group, and the difference was statistically significant（t=66.900, 38.976, P 〈 0,05）. The postoperative pain score of the experimental group was significantly lower than that of the eontrol group（t=37.612, P 〈 0.05）. The satisfaction rate of 46 patients in experimental group was 44 eases（95.65%）, and higher than that of 33 eases（71.74%） in control group（x2=20.946, P 〈 0.05）. Conclusion Compared with the conventional painless induced abortion, the ultrasound-guided painless induced abortion can reduce the ineidenee rate of complications and intraoperative bleeding volume, shorten the operation time and duration of vaginal bleeding, improve the anxiety and clinical satisfaction, and relieve the pain degree.
作者
张红青
廖燕凤
练菲艳
ZHANG Hongqing;LIAO Yanfeng;LIAN Feiyan(Department of Gynecology and Obstetrics,Fuzhou Traditional Chinese Medicine Hospital,Fujian 350000,China)
出处
《中国医药科学》
2018年第16期76-78,99,共4页
China Medicine And Pharmacy
关键词
超声引导
人工流产
阴道流血
疼痛
Ultrasound-guided
Abortion
Vaginal bleeding
Pain
