医学研究与教育 ›› 2015, Vol. 32 ›› Issue (3): 48-51.DOI: 10.3969/j.issn.1674-490X.2015.03.011

• 临床研究 • 上一篇    下一篇

间苯三酚联合补佳乐在绝经后嵌顿节育器取出术中的应用

许小宁1,崔雅坤2,卢志茹2   

  1. 1. 涞源县妇幼保健院,河北 涞源 074300;2. 保定市第一中心医院,河北 保定 071000
  • 出版日期:2015-06-25 发布日期:2015-06-25
  • 通讯作者: 卢志茹(1972—),女,河北望都人,副主任医师,主要从事产科临床工作及分娩镇痛进展的研究。E-mail: luzhiru2008@163.com
  • 作者简介:许小宁(1981—),女,河北涞源人,主治医师,主要从事妇产科临床工作及产程观察和加速产程进展的研究。E-mail: 627705971@ qq.com

Study on phloroglucin combined with estradiol valerate for postmenopausal embedded IUDs removal operation

XU Xiaoning1, CUI Yakun2, LU Zhiru2   

  1. 1. Maternal and Child Health-Care Hospital of Laiyuan County, Laiyuan 074300, China; 2. Baoding First Central Hospital, Baoding 071000, China
  • Online:2015-06-25 Published:2015-06-25

摘要: 目的 探讨间苯三酚联合补佳乐应用于绝经后妇女嵌顿宫内节育器取出术中的疗效。方法 选择绝经后经历取器失败1~3 次的妇女317 例,随机将其分成3 组。A 组口服补佳乐(2 mg qd),连服5 d 后手术,术前10 min 宫颈2 点、10 点局部注射间苯三酚共40 mg。B 组单纯口服补佳乐(2 mg qd),连服5 d 后手术。C 组术前10 min 宫颈2 点、10 点局部注射间苯三酚共40 mg。观察3 组节育器取出术中疼痛程度及宫颈软化程度。结果 A 组宫颈软化程度分别和B 组、C 组比较差异均有统计学意义(P<0.05)。A 组患者疼痛程度分别和B 组、C 组比较,差异均有统计学意义(P<0.05)。结论在绝经后妇女宫内节育器嵌顿取出术前应用间苯三酚配伍补佳乐,不但能提高宫颈软化程度,还能减轻患者的痛苦,增加取器的成功率,值得临床推广。

关键词: 绝经妇女, 嵌顿节育器取出术, 间苯三酚, 补佳乐

Abstract: Objective To investigate the curative effects of phloroglucin combined with progynova in postmenopausal women with embeded IUDs removal operation. Methods 317 postmenopausal women who experienced 1-3 times failure of IUDs removal operations were randomly divided into three groups. Patients in group A took progynova (2 mg qd) orally, and served it for 5 days before the operation, and then locally injected phloroglucin 40 mg at cervical 2 points, 10 points, 10min before the operation. Patients in group B was only treated with progynova (2 mg qd) orally, and served for 5 days before operation. In group C, we only administered phloroglucin 40 mg at cervical 2 points, 10 points, 10min before the operation. The observation index were the degree of pain and cervical softening degree during the IUD removal operation. Results The cervical softening degree in group A had statistically differences than that in group B and group C respectively (P<0.05). Among the three groups, the degree of pain in group A showed statistically differences than thatin group B and group C(P< 0.05). Conclusion The application of phloroglucin combined with progynova on postmenopausal women during embedded IUDs removal operation can not only improve the cervical softening degree, but also can relieve the pain of patients, and increase the success rate, which is worthy for clinical distribution.

Key words: Postmenopausal women, embedded IUDs removal operation, phloroglucin, progynova

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