药物流产与手术流产对其后再次妊娠的影响.docVIP

精品论文 参考文献 药物流产与手术流产对其后再次妊娠的影响 薛 红 沈叶群 马筱薇 　　（苏州市吴江区中医医院妇产科 215221） 　　【摘 要】目的：探讨药物流产与手术流产对其后再次妊娠的影响，为意外妊娠者选择合适的流产方式提供依据。方法：根据知情同意的原则选取有过一次药物流产史的健康孕妇120例（药流组），有过一次手术流产史的健康孕妇120例（术流组），无流产史的健康孕妇120例（对照组），三组在基线上的差异无统计学意义（P＞0.05）。观察三组在妊娠期、围生期以及新生儿期的异常情况及并发症。结果：术流组在先兆流产、胎盘残留的发生率上较药流组、对照组高（P＜0.05），术流组在早产、胎盘异常、产后大出血的发生率上较对照组高（P＜0.05），其余组间比较差异无统计学意义。结论：药物流产对其后再次妊娠的影响较手术流产小，可作为非意愿妊娠人工流产的首选方式。 　　【关键词】药物流产；手术流产；再次妊娠 　　【中图分类号】R714.2 【文献标识码】B 【文章编号】1003-5028（2015）6-0473-02 　　【Abstract】Objective: Discussion the influence between drug abortion and surgical abortion on subsequent pregnancy, To provide a basis for unwanted pregnancy choose appropriate abortion. Method: According to the principle of informed consent. Select healthy pregnant women had a history of drug abortion 120 cases (drug abortion group) , had a history of surgical abortion 120 cases (surgical abortion group), had no history of abortion in 120 cases of (control group). Differences in the three groups at baseline was not statistically significant (Pgt; 0.05).Observe the Abnormalities and complications of the three groups in the pregnant period、perinatal period and the newborn.Result: Compare the incidence of threatened abortion and placenta residual, the surgical abortion group is higher than the drug abortion group or the control group(P lt;0.05); Compare the incidence of preterm delivery、placental abnormality and postpartum hemorrhage, the surgical abortion group is higher than the control group(P lt;0.05), The difference between remaining groups was not statistically significant.Conclusion:The drug abortion group have smaller influence on subsequent pregnancy than surgical abortion,and it colud be the preferred way to unwanted pregnancy abortion. 　　【keyword】drug abortion; surgical abortion; pregnancy 　　在临床上人工流产可分为手术流产和药物流产两种方式。手术流产是通过机械负压吸刮的方式将妊娠产物排出体外，药物流产是用药物来改变妊娠存在的条件从而终止妊娠[1]。这两种流产方式因其安全、有效、简便而在临床上广泛运用。但随着人类生殖健康事业的发展，人们对人工流产后再次妊娠的影响越来越受到重视，如何更加合理地选择流产方式是当前育龄妇女和妇产科医生所共同面临的问题。本文采用回顾性研究方法，探讨药物流产与手术流产