摘要
目的观察终止早期带器妊娠采用药物流产方式的临床应用成效。方法本次的178例研究对象均选自本院2016年1月～2017年12月期间接收需行药物流产的孕妇,依照是否放置节育器为标准,将早期带器妊娠者纳入观察组,单纯宫内妊娠者纳入对照组,各89例。两组患者均采用米索前列醇联合米非司酮,将妊娠终止。观察对比两组患者的临床疗效。结果观察组患者的完全流产率为89.89%,不完全流产率为6.74%,药流失败率3.37%;对照组患者的完全流产率为88.76%,不完全流产率为5.62%,药流失败率5.62%,组间差异无统计学意义。另外,观察组和对照组患者的持续性出血时间、阴道出血量、转经经期、转经时间等指标状况对比,差异无统计学意义。结论对终止早期带器妊娠患者采取米索前列醇联合米非司酮药物流产,和单纯妊娠的应用效果相当,均具有一定安全性和有效性,充分体现其价值意义,值得临床领域广泛采纳推广。
Objective To observe the clinical effect of termination of early pregnancy with drug abortion.Methods 178 cases of this study were selected from our hospital in January 2016-2017 December,during the period of May to receive medical abortion.According to whether the placement of contraceptive device is standard,the early pregnant women with intrauterine pregnancy were included in the observation group,and those with simple intrauterine pregnancy were included in the control group,with 89 cases in each group.The two groups were treated with misoprostol and mifepristone to terminate the pregnancy.The clinical effect of two groups of patients was observed and compared.Results The complete abortion rate of observation group was 89.89%,incomplete abortion rate was 6.74%,medical abortion failure rate was 3.37%;the control group of patients with complete abortion rate was 88.76%,the incomplete abortion rate was 5.62%,the failure rate was 5.62%,there was no significant difference between groups,no statistical significance.In addition,there was no significant difference between the observation group and the control group in terms of continuous bleeding time,vaginal bleeding volume,menstrual cycle and menstrual transit time.There was no statistically significant difference between the two groups.Conclusion It is safe and effective to take misoprostol combined with mifepristone drug abortion for termination of early pregnancy with pregnancy.It is safe and effective,and fully reflects its value.It is worth popularizing widely in clinical practice.
作者
王雪冰
Wang Xuebing(Jiangsu province Lianyungang Lianyun District Maternal and child health family planning service center,Lianyungang,Jiangsu, 222042,China)
出处
《当代医学》
2018年第30期22-25,共4页
Contemporary Medicine
