可视人流仪术中监测对瘢痕子宫取环妇女应激状态的影响

发布时间：2018-12-18 04:38

【摘要】：目的:研究可视人流仪术中监测对瘢痕子宫妇女取环术中的应激激素的影响及临床疗效。方法:按随机数字表法将拟行取环术再生育的瘢痕子宫妇女分为A、B两组,A组实验组采用可视人流仪监护下取环,B组对照组采用常规方法取环,比较两组取环手术的手术时间、术中出血量、术中疼痛程度、手术顺利情况、应激激素变化、术后第一次月经来潮时间及月经变化、术后妊娠等情况。结果:A组与B组相比,术中疼痛程度轻、一次性手术取环成功率高(98.95%vs 90%)、子宫穿孔发生例数少(0 vs 5例),术后阴道流血时间短(6.5±12.03 vs 10.34±10.34天),术后第一次月经来潮快(25.12±0.56 vs 30.45±1.87天),宫颈管粘连的发生病例数少(2 vs 8例)。B组术前和术中、术后的应激激素血液表达水平均高于A组,且两组术中血液表达水平均高于术前及术后,差异均具有统计学意义(P0.05)。术后三月妊娠率高(11.45%vs 3.0%)差异有统计学意义(P0.05).而术后一年妊娠率(36.45%vs 33%),差异无统计学意义(P0.05)。结论:可视人流仪对瘢痕子宫取环术中监护对患者应激状态影响小,要好于常规方法,安全性更高。
[Abstract]:Objective: to study the effect and clinical effect of visual abortion monitoring on stress hormone in cicatricial uterus. Methods: according to the method of random digital table, the cicatricial uterus women were divided into two groups: group A (group A) and group B (group B). The time of operation, the amount of blood loss, the degree of intraoperative pain, the change of stress hormone, the time of first menstruation and menstruation after operation, and the pregnancy after operation were compared between the two groups. Results: compared with group B, the degree of intraoperative pain was less in group A, the success rate of ring removal was high (98.95%vs 90%), and the number of uterine perforation was less (0 vs in 5 cases). The postoperative vaginal bleeding time was short (6.5 卤12.03 vs 10.34 卤10.34 days), the first menstrual onset was fast (25.12 卤0.56 vs 30.45 卤1.87 days), and the number of cervical canal adhesions was less (2 vs 8 cases before and during). B group). The levels of stress hormone expression in blood were higher than those in group A, and the levels of blood expression in the two groups were higher than those before and after operation, the difference was statistically significant (P0.05). Three months after the pregnancy rate was high (11.45%vs 3.0%) the difference was statistically significant (P0.05). The pregnancy rate of one year after operation (36.45%vs 33%), the difference was not statistically significant (P0.05). Conclusion: visual abortion instrument has less influence on stress state of patients, better than conventional method, and higher safety.
【作者单位】：江苏大学医学院;无锡市锡山人民医院/东南大学附属中大医院无锡分院妇产科;
【分类号】：R713

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