CAJ | 학술논문

目的：探讨雌激素在引产患者中对产后出血及产程的影响。方法168例符合条件的中孕引产患者根据入院先后顺序随机分为观察组和对照组各84例，均给予利凡诺羊膜腔内注射引产，观察组在利凡诺注射前1 d给予己烯雌酚片口服，比较两组患者的产后出血及产程情况。结果观察组产后出血量及产后出血率均显著低于对照组(P<0.01)；产程时间显著短于对照组(P<0.01)，利凡诺注射后宫缩开始时间比较差异无统计学意义(P>0.05)；引产失败率明显低于对照组(P<0.05)；观察组未见严重不良反应及副作用。结论雌激素能够有效减少引产患者产后出血量，缩短产程，提高引产成功率，同时并未发现严重不良反应与副作用，疗效可靠，值得推广。
목적：탐토자격소재인산환자중대산후출혈급산정적영향。방법168례부합조건적중잉인산환자근거입원선후순서수궤분위관찰조화대조조각84례，균급여리범낙양막강내주사인산，관찰조재리범낙주사전1 d급여기희자분편구복，비교량조환자적산후출혈급산정정황。결과관찰조산후출혈량급산후출혈솔균현저저우대조조(P<0.01)；산정시간현저단우대조조(P<0.01)，리범낙주사후궁축개시시간비교차이무통계학의의(P>0.05)；인산실패솔명현저우대조조(P<0.05)；관찰조미견엄중불량반응급부작용。결론자격소능구유효감소인산환자산후출혈량，축단산정，제고인산성공솔，동시병미발현엄중불량반응여부작용，료효가고，치득추엄。
Objective To discuss the clinical influence of Estrogen on postpartum hemorrhage and labor progress in induced abortion patients. Methods A total of 168 induce abortion patients were randomly divided into the observation group (n=84) and control group (n=84). All patients were given rivanol amniotic cavity injection to in-duced labor, and the observation group were given Estrogen 1day before rivanol amniotic cavity injection. Then the postpartum hemorrhage and labor progress were compared between the two groups. Results Postpartum hemor-rhage and postpartum hemorrhage rate in the observation group were significantly lower than those of the control group (P<0.01);labor progress was significantly shorter than that of the control group (P<0.01), and there were no sta-tistically significant difference in contractions start time after the rivanol injection (P>0.05);induction failure rate in the observation group was significantly lower than that of the control group (P<0.05);there was no serious adverse re-actions and side effects in the observation group. Conclusion Estrogen can effectively reduce postpartum hemor-rhage, shorten labor progress and improve the success rate of abortion without serious adverse reactions and side ef-fects. It is therefore effective, reliable, and worthy of promotion.