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目的分析绝经后妇女取环术联合口服米索前列醇片的临床疗效。方法将2015年6月~2017年2月80例绝经后取环术妇女作为研究对象并随机分组。对照组单纯进行取环术,米索前列醇组则实施取环术联合口服米索前列醇片治疗。比较两组治疗依从性;取环术实施时间、平均出血量、平均出血时间、疼痛评分;干预前后患者汉密尔顿抑郁量表和汉密尔顿焦虑量表评分。结果米索前列醇组治疗依从性高于对照组,P<0.05;米索前列醇组取环术实施时间、平均出血量、平均出血时间、疼痛评分低于对照组,P<0.05;干预前两组汉密尔顿抑郁量表和汉密尔顿焦虑量表评分相近,P>0.05;干预后米索前列醇组汉密尔顿抑郁量表和汉密尔顿焦虑量表评分优于对照组,P<0.05。结论绝经后妇女取环术联合口服米索前列醇片的临床疗效确切,可有效改善患者不良情绪,提高治疗依从性,缩短取环术时间,减少出血,减轻疼痛,值得推广。
OBJECTIVE: To analyze the clinical effect of taking loop combined with oral misoprostol in postmenopausal women. Methods From June 2015 to February 2017, 80 women with postmenopausal circumcision were randomly divided into groups. The control group was simply taken cycloplegia while the misoprostol group was treated with cyclophosphamide combined with oral misoprostol. The compliance of the two groups was compared; the time of operation, the average amount of bleeding, the average bleeding time and the pain score were taken; the Hamilton Depression Inventory and the Hamilton Anxiety Scale before and after intervention were scored. Results The compliance of misoprostol group was higher than that of the control group (P <0.05). The time of misoprostol, mean blood loss, mean bleeding time and pain score in misoprostol group were lower than those in control group (P <0.05) The scores of Hamilton Depression Scale and Hamilton Anxiety Scale were similar in both groups (P> 0.05). The scores of Hamilton Depression Scale and Hamilton Anxiety Scale in the misoprostol group were better than those in the control group (P <0.05). Conclusions The clinical effect of taking epicenterory combined with oral misoprostol tablets in postmenopausal women is exact, which can effectively improve the patients’ bad mood, improve the treatment compliance, shorten the time of taking the circumcision, reduce the bleeding and relieve the pain. It is worth to be popularized.