药物与吸宫流产终止早孕的临床比较  

The clinically compares of stoping early pregnant with medicine and Negative pressure attraction technique

作　　者：孙世梅 

机构地区：[1]山东省烟台开发区妇幼保健站计生服务站,264006

出　　处：《中国实用医药》2007年第34期24-26,共3页China Practical Medicine

摘　　要：目的探讨药物流产(药流)和吸宫流产(吸宫术)终止早孕的临床疗效。方法收集320例妊娠妇女按自愿原则选择终止早孕的方法,比较药物流产与吸宫流产的安全性、有效性、可接受性。结果两组间流产率差异有统计学意义(P<0.01)。两组间流产的不良反应:腹痛的发生率吸宫组高于药流组,差异有统计学意义(P<0.05);腹泻仅发生在药流组;恶心、呕吐的发生率两组差异有统计学意义(P>0.05)。出血情况:吸宫组出血量少于药物组,差异有统计学意义(P<0.05);平均出血时间药流组(8.6±4.2)d明显高于吸宫组(4.5±2.8)d,差异有统计学意义(P<0.01)。对此次流产表示满意的药流组和吸宫组分别为57.9%、53.8%,两组分别有68.5%及66.3%在下次意外妊娠时,仍愿意选择本次采用的方法终止妊娠。结论提示两种流产仍是目前终止早孕的最佳方法,药物流产作为终止早孕方法的补充是安全、有效、可接受的。Objective To discusing the clinical curative effect with medicine miscarriage technique and negative pressure attraction technique in stoping early pregnant.Methods Collects 320 example pregnancy women using the method which terminated according to the volunteer principle to stoping early pregnant.Results 2 groups of rates of abortion have the unusual significance difference(P<0.01).During 2 groups miscarries side reaction:the abdominal pain formation rate attracts the palace group to be higher than the medicine to flow the group,the difference has the significance(P<0.05).The diarrhea only occurs in the medicine flows the group.Disgusting,the vomitive formation rate two groups of differences do not have the significance(P>0.05).Two groups will have 68.5% and 66.3% objects separately when the next time accidental pregnancy,still was willing to choose the method termination pregnancy which this time used.Conclusion Two kinds of miscarriages still were the best method which in stoping early pregnant,the medicine miscarries as the termination is pregnant the method supplement in stoping early pregnant,effective,may accept.

关 键 词：米非司酮 米索前列醇 负压吸宫 终止早孕 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]