间苯三酚联合盐酸曲马多缓释片在绝经后取环术中的应用效果(1)
[摘要]目的 探讨间苯三酚联合盐酸曲马多缓释片在绝经后取环术中的应用效果。方法 选取2017年3月～2018年2月我院收治的30例绝经后取出宫内节育环(IUD)患者的临床资料，按照干预方案不同分为观察组(15例)和对照组(15例)。对照组常规取环，不用任何药物。观察组用盐酸曲马多缓释片联合间苯三酚治疗。观察两组宫颈软化程度、术中疼痛程度、取环结果及不良反应总发生率。结果 观察组宫颈软化程度优于对照组，术中疼痛程度轻于对照组，取环结果优于对照组，不良反应总发生率低于对照组，差异均有统计学意义(P<0.05)。结论 间苯三酚联合盐酸曲马多缓释片在绝经后取环术中的应用效果较好，患者宫颈软化程度、术中疼痛程度、取环结果及不良反应均得到较好的改善。
[关键词]间苯三酚;盐酸曲马多缓释片;绝经后取环术;应用效果
[中图分类号] R713 [文献标识码] A [文章编号] 1674-4721(2019)10(b)-0122-03
[Abstract] Objective To investigate the application effect of Phloroglucinol combined with Tramadol Hydrochloride Sustained-Release Tablets in postmenopausal ring removal. Methods The clinical data of 30 postmenopausal women who needed to remove intrauterine contraceptive device (IUD) in our hospital from March 2017 to February 2018 were selected. According to the different intervention schemes， the patients were divided into observation group (15 cases) and control group (15 cases). The control group used routine ring removal without any drugs. The observation group used Tramadol Hydrochloride Sustained-Release Tablets combined with Phloroglucinol treatment. The degree of cervical softening， intraoperative pain， ring removal results and total incidence of adverse reactions were observed in the two groups. Results The degree of cervical softening in the observation group was better than that in the control group， the degree of pain in the observation group was lighter than that in the control group， the result of ring removal was better than that in the control group， and the total incidence of adverse reactions was lower than that in the control group， the differences were statistically significant (P<0.05). Conclusion Phloroglucinol combined with Tramadol Hydrochloride Sustained-Release Tablets is effective in the removal of cervical rings after menopause. The degree of cervical softening， intraoperative pain， the results of removal of rings and adverse reactions are all improved.
[Key words] Phloroglucinol; Tramadol Hydrochloride Sustained-Release Tablets; Postmenopausal ring removal; Application effect
宫内节育环(IUD)是临床常用的一种高效、便捷、便宜的節育手段，在我国育龄妇女中使用较为广泛[1]。但调查研究显示，绝经后妇女因卵巢衰退、雌激素水平下降等因素导致子宫逐渐萎缩，宫颈组织也逐渐变硬，容易造成节育环变形、断裂、甚至嵌入黏膜下或子宫肌层的不良情况，大大增加了取出难度和取环时患者的痛苦，并发症风险也大增[2-4]。因此，临床上寻找一种有效的、简单的、安全的方法来缓解绝经后取环者的疼痛成为妇产科医生面临的新挑战。目前临床上取环前口服补佳乐或米非司酮，或使用卡前列甲酯栓和米索前列醇等起到扩宫颈作用，但对缓解疼痛效果不太明显[5]。本研究开展间苯三酚联合盐酸曲马多缓释片在绝经后取环术，效果较好，现报道如下。
1资料与方法, 百拇医药(黄丽)
[关键词]间苯三酚;盐酸曲马多缓释片;绝经后取环术;应用效果
[中图分类号] R713 [文献标识码] A [文章编号] 1674-4721(2019)10(b)-0122-03
[Abstract] Objective To investigate the application effect of Phloroglucinol combined with Tramadol Hydrochloride Sustained-Release Tablets in postmenopausal ring removal. Methods The clinical data of 30 postmenopausal women who needed to remove intrauterine contraceptive device (IUD) in our hospital from March 2017 to February 2018 were selected. According to the different intervention schemes， the patients were divided into observation group (15 cases) and control group (15 cases). The control group used routine ring removal without any drugs. The observation group used Tramadol Hydrochloride Sustained-Release Tablets combined with Phloroglucinol treatment. The degree of cervical softening， intraoperative pain， ring removal results and total incidence of adverse reactions were observed in the two groups. Results The degree of cervical softening in the observation group was better than that in the control group， the degree of pain in the observation group was lighter than that in the control group， the result of ring removal was better than that in the control group， and the total incidence of adverse reactions was lower than that in the control group， the differences were statistically significant (P<0.05). Conclusion Phloroglucinol combined with Tramadol Hydrochloride Sustained-Release Tablets is effective in the removal of cervical rings after menopause. The degree of cervical softening， intraoperative pain， the results of removal of rings and adverse reactions are all improved.
[Key words] Phloroglucinol; Tramadol Hydrochloride Sustained-Release Tablets; Postmenopausal ring removal; Application effect
宫内节育环(IUD)是临床常用的一种高效、便捷、便宜的節育手段，在我国育龄妇女中使用较为广泛[1]。但调查研究显示，绝经后妇女因卵巢衰退、雌激素水平下降等因素导致子宫逐渐萎缩，宫颈组织也逐渐变硬，容易造成节育环变形、断裂、甚至嵌入黏膜下或子宫肌层的不良情况，大大增加了取出难度和取环时患者的痛苦，并发症风险也大增[2-4]。因此，临床上寻找一种有效的、简单的、安全的方法来缓解绝经后取环者的疼痛成为妇产科医生面临的新挑战。目前临床上取环前口服补佳乐或米非司酮，或使用卡前列甲酯栓和米索前列醇等起到扩宫颈作用，但对缓解疼痛效果不太明显[5]。本研究开展间苯三酚联合盐酸曲马多缓释片在绝经后取环术，效果较好，现报道如下。
1资料与方法, 百拇医药(黄丽)