摘要
目的:探讨丙泊酚联合米非司酮在绝经后妇女取环中的应用价值。方法:对我院2007年6月至2009年6月期间124例绝经后取环妇女进行回顾性分析,分为两组,每组62例。观察组予米非司酮25mg、口服、1次/12h、共3天,第4天术前禁食6h,行丙泊酚静脉麻醉、无痛取环;对照组在丙泊酚静脉麻醉后常规宫颈注射1%利多卡因2ml,观察两组宫颈软化、手术时间、出血量及成功率。结果:观察组;宫颈软化率82.26%,手术时间<5min者占77.42%,出血量(2.0±0.7)ml,一次性取环成功率100%。对照组:宫颈软化率9.68%,手术时间<5min者占17.74%,出血量(3.6±0.9)ml,一次性取环成功率85.48%,两组比较有显著差异。结论:丙泊酚联合米非司酮用于绝经后妇女取环安全、可靠,值得临床推广。
Objective：To study the clinical value of Propofol and Misopostol in remove operation of intrauterine devuce（IUD）of postmenopausal women.Methods：A retrospective study was conducted on 124 cases of postmenopausal women removed operation of IUD in our hospital from June 2007 to June 2009.124 cases were divided into two groups,each group had 62 cases.The observing group took the 25mg Misopostol once per 12 hours for three days.And came back to the hospital on fourth day,who were forbidden to have anything during the six hours before operation.After Propofol intravenous anesthesia,the pain free remove operation of IUD was preformed.The control group,1% of 2ml Lidocaine was injected to cervix after Propofol intravenous anesthesia.Then we observed the softening of cervix,the operation time,the bleeding volume and the rate of operation success between the observed group and the control group.Results：In the observed group：the rate of softening of cervix,the operative time which was less than 5min,the bleeding volume and the rate of one time successful IUD remove operation were 82.26%,77.42%,（2.0±0.7）ml and 100% respectively.In the control group：the rate of softeningog cervix,the operative time which was less than 5min,the bleeding volume and the rate of one time successful IUD remove operation were 9.68%,17.74%,（3.6±0.9） and 85.48% respectively.There was significant difference between the two groups （P〈0.01,P〈0.05）.Conclusions：It was safe and reliable for Propofol and Misopostol in the remove operation of IUD of postmenopausal women and it was worthy of clinical popularization.
出处
《中国冶金工业医学杂志》
2010年第2期139-140,共2页
Chinese Medical Journal of Metallurgical industry
关键词
丙泊酚
米非司酮
绝经后
取环术
Propofol
Misopostol
Postmenopausal
Intrauterine device remove operation
