抗早孕药与利凡诺合用能控制中孕引产的时间.docVIP

　　【摘要】 目的 探讨抗早孕药（米非司酮加米索前列醇片）与利凡诺合用控制整个中孕引产的时间。方法 选择2004年1～5月我院门诊收住的中孕引产（瘢痕子宫除外）共计70例，均采用抗早孕药与利凡诺合用为A组。而2000年1～5月内我院门诊收住（瘢痕子宫除外），单纯用利凡诺中孕引产110例为B组，两组进行比较分析。结果 （1）注射利凡诺宫缩发作开始的平均时间A组为（26.61±3.21）h，B组为（41.42±12.22）h。（2）注射利凡诺后36h完成产程，A组占98.57%，B组占20.00%。（3）在产程中加用宫缩剂调节产程A组占35.71%，B组占94.55%。（4）胎儿胎盘完整娩出A组占97.14%，B组占89.09%。结论 （1）抗早孕药能够控制中孕引产宫缩发作的时间。（2）能够控制整个产程的时间，使之在利凡诺注射后36h之内完成（白天内）分娩。（3）米索前列醇片有加强宫缩的作用，减少用催产素调节产程。（4）单纯使用利凡诺引产，产程短者分娩出胎儿仍存活。加入米非司酮后增加了杀死胎儿的效果。（5）单纯使用利凡诺引产产程长者，胎儿在宫内被利凡诺液浸泡时间长，造成脐带断裂，胎盘胎儿破碎，娩出不完整。应用抗早孕药后缩短了发作的时间及产程，胎儿胎盘完整娩出率高。（6）利用两种药物增加了成功率，避免了孕妇第二次羊膜腔注射利凡诺的痛苦。此手法疗效确切，应用临床效果好。 　　关键词 抗早孕药 利凡诺 中孕引产的时间 　　To control the period of the mid-pregnancy odynopoeia with the combined application of contragestive agents and acrinol Deng Yali，Cheng Ling，Zheng Hong，et al. Institute of Traditional Chinese Medicine of Hubei Province，Hubei430073. 【Abstract】 Objective To discuss the time of the mid-pregnancy odynopoeia controlled by the combined appliˉcation of contragestive agents（mifepristone tablets plus misoprostol tablets）and acrinol.Methods Seventy mid-pregˉnancy odynopoeia inward patients in our hospital were given contragestive agents and the acrinol simultaneously from Janˉuary to May in2004belonged to group A，110mid-pregnancy odynopocia inward patients in our hospital were treated with the acrinol only from January to May in2000belonged to group B.The data of two groups was compared and anaˉlyzed.Results （1）The average time of the onset of uterine contraction after the acrinol was injected was（26.61±3.21）h and（41.42±12.22）h in group A and group B respectively.（2）The birth process completed in36hours after the injection of the acrinolgroup A was98.57%，group B was20.00%.（3）The birth process adjusted by applying oxytocin during the process group A was35.71%，group B was94.55%.（4）Fetus and placenta completely expulsed group A was97.14%，group B was89.09%.Conclusion （1）Contragestive agents can control the onset time or uterine contraction of the mid-pregnancy odynopoeia.（2）