药物流产后阴道出血120 例临床观察.docVIP

精品论文 参考文献 药物流产后阴道出血120 例临床观察 四川省绵阳市中心医院 妇产科 四川绵阳 621000 　　【摘 要】目的：分析探讨米索前列醇用对于治疗药物流产后阴道出血后的临床疗效。方法：本次研究病例选取我院2012年10月-2013年12月期间在我院门诊或住院就诊治疗的120例病患，怀孕35-49周天。年龄为18-35岁之间,平均年龄约为26.4岁左右,月经停止le;45天的，无其他妇科疾病的健康女性，经妇科相关常规检查后的,月经周期正常,既往没有出血性病史、无内科、妇科相关基础代谢疾病,无用药禁忌证、节育器、能够遵守用药治疗期间的相关要求及能够进行随访者。经过妊娠试验及B超检查表明,子宫内早孕经过药物流产治疗后阴道流血患者，B超检查显示子宫内有异物残留的患者，患者自愿要求终止妊娠的健康女性。对选取的所有病患按照就诊顺序随机分为两组，每组60例分为治疗组和对照组，治疗组选用米索前列醇进行治疗，对照组选用米非司酮进行治疗。结果：①治疗组的完全流产率为100.0%,阴道出血时间为(8.6plusmn;1.5)天，对照组完全流产率92.14%,阴道出血时间(10.6plusmn;2.9)天，两组疗效对比,差异具有统计学意义(Plt;0.05)。②治疗组和对照组阴道出血量对比, 米索前列醇组的出血量较米非司酮组明显缩短，差异具有统计学意义(Plt;0.05)。③治疗组和对照组月经恢复时间对比，米索前列醇组的月经恢复时间较米非司酮组明显缩短，差异具有统计学意义(Plt;0.05)。④两组用药治疗后未见明显的不良反应，差异不具有统计学意义(Pgt;0.05)。结论：米索前列醇用于治疗药物流产,能够明显提高完全流产率、明显减少阴道出血量及减少出血时间,治疗效果明显、确切。 　　【关键词】药物流产；米索前列醇；临床观察 　　【中图分类号】R169.42 【文献标识码】B 【文章编号】1674-8999（2015）6-0116-01 　　【Abstract】Objective：analysis to discuss the misoprostol used to treat the clinical curative effect of vaginal bleeding after medical abortion. Methods：This study selected cases from October 2012 - December 2013 in our hospital outpatient or hospitalization medical treatment during the period of 120 cases of patients, pregnant 35 to 49 on Sunday. Between the age of 18 to 35 years old, the average age of 26.4 years old or so, menstruation stop 45 days or less, no other disease of department of gynaecology of healthy women, after the relevant routine inspection of department of gynaecology, menstrual cycle is normal, always had no history of hemorrhagic disease in the related basal metabolism, internal medicine, gynecology, there is no contraindication certificate, synthetic, to comply with the requirements of the relevant drug use during treatment and able to perform with the visitor. After a pregnancy test and B ultrasonic examination show that intrauterine pregnancy patients of vaginal bleeding after medical abortion treatment, B ultrasonic examination showed patients with foreign bodies remain there inside the uterus, healthy women patients