中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
6期
111-112,113
,共3页
药物流产%妊娠%子宫收缩
藥物流產%妊娠%子宮收縮
약물유산%임신%자궁수축
Medical abortion%Gestation%Uterine contraction
目的：探讨药物流产后阴道持续流血的临床治疗以及治疗方法。方法：选取本院收治药物终止妊娠患者64例，将患者按照随机数字表法分为观察组和对照组，每组32例。对照组前2天服用米非司酮，晨空腹服用50 mg，晚空腹服用25 mg，在服药前后2 h不进食。第3天上午实施阴道后穹隆置入米索前列醇600μg，观察组除以上操作外还进行清宫术。结果：观察组平均出血时间为（13.2±1.5）d，对照组为（19.3±3.8）d；观察组平均出血量为（56.3±4.5）mL，对照组为（96.0±5.7）mL；观察组月经复潮时间为（32.3±5.2）d，对照组为（43.4±10.2）d；两组比较差异均有统计学意义（P<0.05）。观察组尿hCG转阴时间超过14 d的发生率为21.9%，对照组为53.1%；观察组术后炎性细胞浸润率为28.1%，对照组为71.9%，两组比较差异均有统计学意义（P<0.05）。结论：药物流产后如果持续流血时间过长需进行清宫术，以利于康复和减少并发症。
目的：探討藥物流產後陰道持續流血的臨床治療以及治療方法。方法：選取本院收治藥物終止妊娠患者64例，將患者按照隨機數字錶法分為觀察組和對照組，每組32例。對照組前2天服用米非司酮，晨空腹服用50 mg，晚空腹服用25 mg，在服藥前後2 h不進食。第3天上午實施陰道後穹隆置入米索前列醇600μg，觀察組除以上操作外還進行清宮術。結果：觀察組平均齣血時間為（13.2±1.5）d，對照組為（19.3±3.8）d；觀察組平均齣血量為（56.3±4.5）mL，對照組為（96.0±5.7）mL；觀察組月經複潮時間為（32.3±5.2）d，對照組為（43.4±10.2）d；兩組比較差異均有統計學意義（P<0.05）。觀察組尿hCG轉陰時間超過14 d的髮生率為21.9%，對照組為53.1%；觀察組術後炎性細胞浸潤率為28.1%，對照組為71.9%，兩組比較差異均有統計學意義（P<0.05）。結論：藥物流產後如果持續流血時間過長需進行清宮術，以利于康複和減少併髮癥。
목적：탐토약물유산후음도지속류혈적림상치료이급치료방법。방법：선취본원수치약물종지임신환자64례，장환자안조수궤수자표법분위관찰조화대조조，매조32례。대조조전2천복용미비사동，신공복복용50 mg，만공복복용25 mg，재복약전후2 h불진식。제3천상오실시음도후궁륭치입미색전렬순600μg，관찰조제이상조작외환진행청궁술。결과：관찰조평균출혈시간위（13.2±1.5）d，대조조위（19.3±3.8）d；관찰조평균출혈량위（56.3±4.5）mL，대조조위（96.0±5.7）mL；관찰조월경복조시간위（32.3±5.2）d，대조조위（43.4±10.2）d；량조비교차이균유통계학의의（P<0.05）。관찰조뇨hCG전음시간초과14 d적발생솔위21.9%，대조조위53.1%；관찰조술후염성세포침윤솔위28.1%，대조조위71.9%，량조비교차이균유통계학의의（P<0.05）。결론：약물유산후여과지속류혈시간과장수진행청궁술，이리우강복화감소병발증。
Objective:To explore the clinical observations and investigations about the continuous bloodshed after medical abortion. Method:Sixty-four patients of our hospital who were aborted by drug were randomly divided into the observation group and the control group,each group of 32 cases. Each patient of the control group took mifepristone with fasting in the first two days,50 mg in the morning,25 mg in the evening,and was placed misoprostol through vagina in the third morning. In addition,the observation group also applied curettage. Result:Bleeding time of the observation group was(13.2±1.5)days,and the control group was(19.3±3.8)days;The average bleeding amount of the observation group was(56.3±4.5)mL,and the control group was(96.0±5.7)mL,The menstruation restoration time of the observation group was(32.3±5.2)days,and the control group was (43.4±10.2)days,and the differences between the two groups were all statistically significant(P<0.05). The probability of surpassing 14 days which was the time of overcast of urine hCG of the observation group was 23.8%,and the control group was 53.4%;The inflammatory cells invasion rate of the observation group was 28.1%while the control group was 71.9%after treatment,and the differences between the two groups were all statistically significant (P<0.05). Conclusion:It is essential to operate curettage for the continuing bloodshed after medical abortion,for the sake of better rehabilitation and less complications.
