摘要
目的寻求年轻初孕妇非意愿早期妊娠中止更安全有效的方法。方法18-22岁初孕妇非意愿妊娠要求手术中止90例,随机分为两组,甲组45例采用阴道后穹窿放置米索前列醇（200μg,研磨成粉状）,1小时后行丙泊酚静脉麻醉下人工流产术。乙组45例直接行异丙酚静脉麻醉下人工流产术,比较两组手术时间、麻醉药物维持量、手术开始2小时内阴道流血量。结果甲组手术时间短、维持麻醉用药量少、术中术后出血量少,与乙组相比,差异具有显著性（P〈0.05）。结论对于年轻初孕妇,因宫颈发育欠佳或宫颈口较紧,扩张宫颈较困难,术前1小时阴道后穹窿放置研碎的米索前列醇200μg,可使手术中扩张宫颈更容易,手术时间缩短,减少麻醉药用量及术中术后出血量。
Objective To seek a more safe and effective way to suspend the early unwanted pregnancy in the young woman. Methods 90 unwanted pregnant woman, aged 18 -22, who requested to suspend the pregnancy by surgery, were randomly divided into two groups. Group A （45 cases ） ： Misoprostol （200 p.g, groud into powder）was placed in the behind of vaginal fomix, 1 hour later, the abortion was induced by using propofol intravenous anesthesia. Group B （45 cases） ：the abortion was induced directly by using the intravenous propofol anesthesia. The time of surgery, maintenance dose of anesthesia, the amount of vagina bleeding 2 hours after surgery were compared. Results Group A showed less surgery time, maintain dose,bleeding in and after the surgery than those in group B. The difference was significant （ P 〈 0. 05 ）. Conclusion Placing the powder of Misoprostol 1 hour before the surgery for young pregnant woman who is difficuhy to expand the cervix due to the poor development of cervix or too tight of cervical outlet can enable the expansion of cervix easily, shorten the surgery time, and reduce the dose of anesthetics and blood during or after surgery.
出处
《东南国防医药》
2009年第6期512-514,共3页
Military Medical Journal of Southeast China
关键词
人工流产
米索前列醇
静脉麻醉
丙泊酚
Induced abortion
Misoprostol
Intravenous anesthesia
Propofol
