摘要
目的探讨神经肌肉电刺激对人工流产术后子宫内膜厚度及血流的影响。方法收集自愿接受人工流产手术的早孕女性150例。采用抽签法将上述对象随机分为神经肌肉电刺激组、药物组和常规组,每组50例。常规组未进行任何处理,药物组术后给予口服妈富隆治疗,神经肌肉电刺激组采用Phenixusb4神经肌肉电治疗仪治疗。比较3组人工流产术后第8,15天子宫内膜厚度及血流信号形态的变化情况。结果术后15 d时,药物组、神经肌肉电刺激组的子宫内膜厚度较常规组明显增厚(P均<0. 05),RI明显降低(P均<0. 05);药物组、神经肌肉电刺激组RI、内膜血流信号改善率明显高于常规组(P均<0. 05),但药物组、神经肌肉电刺激组比较差异无统计学意义(P均> 0. 05)。结论人工流产术后进行神经肌肉电刺激辅助治疗能获得与妈富隆相同的疗效,且无药物带来的不良反应,加之操作方便,患者依从性好,可作为人工流产术后一个较好的辅助治疗选择。
Objective It is to investigate the effects of neuromuscular electrical stimulation on endometrial thickness and blood flow after artificial abortion. Methods A total of 150 early-pregnancy women who underwent voluntary abortion were collected and divided into neuromuscular electrical stimulation group,drug group and conventional group by drawing method,50 cases in each group. The conventional group was not given any treatment. The drug group was given Marvelon by oral administration. The neuromuscular electrical stimulation group was treated with a Phenixusb4 neuromuscular electrotherapy device. The changes of endometrial thickness and blood flow signal morphology on the 8 th and 15 th day after abortion were compared in the three groups. Results At 15 days after operation,the endometrial thickness of the drug group and neuromuscular electrical stimulation group was significantly thicker than that of the conventional group,and the RI was significantly decreased（ P〈0. 05）. The improvement rates of RI and intimal blood flow signals of the drug group and neuromuscular electrical stimulation group were significantly higher than that of the conventional group（ P〈0. 05）; however,there was no statistical difference between drug group and neuromuscular electrical stimulation group（ P〈0. 05）. Conclusion Neuromuscular electrical stimulation after abortion can achieve the same effect of Marvelon without side effects caused by the drugs. Moreover,it is easy to operate with good patient compliance,so it can be used as a better adjuvant therapy after abortion.
作者
舒芊
覃惠萍
陈苑
兰小曼
兰鹰
SHU Qian;QIN Huiping;CHEN Yuan;LAN Xiaoman;LAN Ying(The First Affiliated Hospital of Liuzhou Medical College,Liuzhou 545002,Guangxi,China)
出处
《现代中西医结合杂志》
CAS
2018年第29期3206-3208,3306,共4页
Modern Journal of Integrated Traditional Chinese and Western Medicine
基金
2016年度广西高校中青年教师基础能力提升项目(KY2016YB255)
关键词
神经肌肉电刺激
人工流产术
子宫内膜
血流信号
neuromuscular electrical stimulation
artificial abortion
endometrium
blood flow
