摘要
目的观察对比分析药物流产与人工流产的临床效果。方法选取2014年1月～2015年10月我所妇科门诊因意外妊娠要求终止妊娠的早期妊娠女性200例，根据知情同意的原则随机分设两组。药物流产组100例，人工流产组100例。药物流产组采用米非司酮联合米索前列醇进行药物流产．人工流产组采用负压吸引术进行人工流产，通过观察两组的完全流产率、不全流产率、流产失败率、不良反应、阴道出血量、出血时间以及术后受术者的认同率，对比分析两组的临床效果。结果人工流产组完全流产率、不完全流产率、失败率分别为98％、2％、0％，药物流产组为81％、17％、2％，人工流产组完全流产率明显高于药物流产组。人工流产组的Ⅱ级、Ⅲ级疼痛人数占59％，药物流产组占32％，人工流产组程度重于药物流产组。人工流产组的人工流产综合征发生率为8％，高于药物流产组的1％。人工流产组的出血时间短于药物流产组，人工流产组的出血量少于药物流产组。人工流产组对人工流产的认同率为75％低于药物流产组的84％。结论药物流产和人工流产各有利弊，临床工作中应以患者具体情况为依据，选择适宜的流产方式。
Objective To observe and compare the clinical effects of medical abortion and induced abortion.Methods 200 early pregnant women who required to terminate pregnancy due to accidental pregnancy in the gynecological clinic in our center from January 2014 to October 2015 were selected.According to the informed consent principle,they were randomly assigned to two groups,with 100 women in the medical abortion group and another 100 women in the induced abortion group.Medical abortion group was given mifepristone combined with misoprostol for medical abortion,and the induced abortion group was given vacuum aspiration for induced abortion.Complete abortion rate,incomplete abortion rate,abortion failure rate,adverse effects,amount of vaginal bleeding,bleeding time and patients＇ satisfaction rate. after surgery were observed in two groups,and clinical effects were compared and analyzed between two groups.Results Complete abortion rate,incomplete abortion rate and failure, rate in the induced abortion group was 98%,2% and 0% respectively,with 81%,17%,and 2% respectively in the medical abortion group,complete abortion rate in the induced abortion group was significantly higher than that in the medical abortion group.Number of patients with level II and level Ill pain in the induced abortion group accounted for 59%,with 32% in the medical abortion group,pain degree in the induced abortion group was more severe than that in the medical abortion group.The incidence rate of induced abortion syndrome in the induced abortion group with 8% was higher than 1% in the medical abortion group.The bleeding time in the induced abortion group was shorter than that in the medical abortion group,and the amount of bleeding in the induced abortion group was lower than that in the medical abortion group.The rate of satisfaction towards induced abortion in the induced abortion group with 75% was lower than 84% in the medical abortion group. Conclusion Medical abortion and induced abortion have their own upsides and downsides.Patients＇individu
出处
《中国当代医药》
2016年第21期69-71,共3页
China Modern Medicine
关键词
药物流产
人工流产
效果.
Medical abortion
Induced abortion
Effects
