[目的]探讨舌下含服米索前列醇(米索)应用于早孕人工流产术前的可行性、安全性及有效性。[方法]将198例拟行人工流产的妇女随机分为口服米索组96例(A组)、舌下含服米索组102例(B组)。A组术前2h口服米索前列醇400μg,B组术前0.5h舌下含服米索前列醇400μg。观察并比较两组不良反应发生率、宫颈扩张效果、术中出血量、镇痛效果及人工流产综合征发生情况。[结果]B组不良反应发生率低于A组,差异有显著性(x^2=9.62~23.8,P〈0.01);两组宫颈扩张效果、术中出血量、镇痛效果及人工流产综合征发生率均无显著性差异(P〉0.05)。[结论]米索前列醇舌下含服可作为人工流产术前扩张宫颈的理想给药方法。
[Objective]To investigate the feasibility,safety,efficacy of sublingual misoprostol in artifical abortion. [Methods]198 women undergoing termination of first-trimester pregnancy were randomly divided into two groups. Women in group A took 400 μg of misoprostol in 2 hours pre-operation、 group B sublingual 400μg of misoprostol in half-hours pre-operation.The side effects of misoprostol, dilatation of cervix、amount of bleeding during operation、painful degree and induced abortion syndrome were observed. [Results] The side effects in group B was fewer than in group A(χ2=9.62~23.8, P<0.01).There were no significant difference in dilatation of cervix、amount of bleeding during operation、painful degree and induced abortion syndrome between two groups(P>0.05).[Conclusion]Sublingual misoprostol in half-hours pre-operation is an ideal approach for dilatation of cervix.