去氧孕烯块雌醇片治药物流产后阴道出血效果观察.docVIP

去氧孕烯块雌醇片治疗药物流产后阴道出血效果观察 　　【摘要】目的：探讨去氧孕烯块雌醇片对治疗药物流产后阴道出血的临床效果。方法：将464名行药物流产孕囊完整排除的病例按照单双号顺序分为观察组（单数）和对照组（双数），两组各为232名。观察组在孕囊排出第3d常规给予去氧孕烯块雌醇片，每晚服用 1 片，连用21d；对照组暂不给予去氧孕烯块雌醇片。对两组孕囊排出后第10d仍有明显阴道出血的病例，均给予去氧孕烯块雌醇片每天早晚各1片（均于孕囊排除后21d停药）。结果：药物流产后观察组阴道出血量明显多于月经量的病例占203%，显著低于对照组（χ2=3291，P005），但出血持续时间显著缩短（t=7536，P中国论文网 /6/viewhtm　　【关键词】去氧孕烯块雌醇片；药物流产；阴道出血 　　Treatment effect of marvelon on vaginal bleeding after drug abortionWANG Ling1， LI Jianli2，3△. 1. Department of Obstetrics and Gynecology， Longchang Peoples Hospital， Neijiang 642156， Sichuan， China； 2. Department of Physical Education， Neijiang Normal University， Neijiang 641199， Sichuan， China； 3. Department of gynecology， Neijiang Daqian Hospital， Neijiang 641100， Sichuan， China 　　【Abstract】Objectives： To investigate the clinical effect of marvelon on the treatment of vaginal bleeding after drug abortion. Methods： A total of 464 women with gestational sac completely discharged after drug abortion were randomly divided into observation group and control group according to the odd and even number sequence， the observation group （odd number） and control group （even number）. In the observation group， marvelon was given 3 days after the gestation sac discharged for treatment， one tablet every night， for 21 days； the control group was not given marvelon. Women in two groups who still had significant vaginal bleeding on the tenth day after gestation sac discharged were treated with marvelon two tablets every day （withdrawal 21 days after the gestation sac discharged）. Results： In the observation group， women whose vaginal bleeding after drug abortionwas obviously higher than menstrual quantity accounted for 203%， significantly lower than the control group （χ2=32.91，P005）， but the duration was shortened （t=7.536， P 　　【Key words】 Marvelon； Drug abortion； Vaginal bleeding 　　【中图分类号】R169.42【文献标志码】A 　　药物流产是终止女性非意愿妊娠的人工流产方法之一，具有成功率高、非侵入性等优势而受到部分妇女特别是年轻女性的青睐[1-3]。其中米非司酮配伍米索前列醇在临床上广泛应用于终止停经49d内的妊娠，成为相对简便、痛苦小、安全有效的药物人工终止早期妊娠的方法