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目的:探讨米索前列醇联合双氯酚酸钠栓用于初孕人流术的临床效果。方法:将220例妊娠6～10周的妇女随机分成两组,常规组术前宫颈注射利多卡因和阿托品,观察组术前45min阴道塞米索前列醇2片、肛门塞双氯酚酸钠栓1枚,比较两组人流时的宫口松弛与镇痛效果、术中出血量及人流综合征的发生情况。结果:观察组宫口松弛总有效率为94.07%,常规组为33.33%,两组比较P<0.01;观察组疼痛明显减轻,术中出血量及发生人流综合征人数减少,两组比较均P<0.01。结论:米索前列醇联合双氯酚酸钠栓用于初孕人流术的镇痛效果明显,有利于宫口扩张,加强宫缩,减少术中出血量,临床应用效果满意。
Objective: To investigate the clinical effect of misoprostol combined with diclofenac sodium suppositories for abortion in early pregnancy. Methods: 220 pregnant women of 6 to 10 weeks of gestation were randomly divided into two groups. The routine group received preoperative cervical injection of lidocaine and atropine. The observation group received vaginal preoperative ciprofibril two minutes 45 min before operation, anal plug diclofenac sodium Tied 1, comparing the two groups when the flow of cervix relaxation and analgesic effect, intraoperative bleeding and the incidence of flow syndrome. Results: The total effective rate of uterine cervix relaxation was 94.07% in the observation group and 33.33% in the conventional group, P <0.01 in the two groups; the pain in the observation group was significantly reduced, the blood loss in the observation group and the number of the people with flow syndrome decreased, P <0.01. Conclusion: The analgesic effect of misoprostol combined with diclofenac sodium suppository for abortion in early pregnancy is obvious, which is propitious to dilatation of uterine cervix, strengthening uterine contractions and reducing intraoperative blood loss, and the clinical application is satisfactory.