B超监测结合口服米非司酮预防人工流产并发症的临床作用分析  

Analysis on clinical effect of B ultrasound monitoring and oral mifepristone administration in prevention of complication of induced abortion

作　　者：王志宏[1] 杜金凯[2] 周自秀[3] 冯佩明[4] 

机构地区：[1]河北省承德医学院附属医院产科,河北承德067000 [2]河北省承德医学院成教科 [3]河北省滦平县医院妇科 [4]河北省承德医学院附属医院超声科

出　　处：《现代预防医学》2012年第13期3257-3258,3265,共3页Modern Preventive Medicine

摘　　要：目的观察B超监测和术后口服米非司酮对降低人流不全发生的影响,探讨一种有效的预防人流不全的方法。方法要求终止妊娠早孕妇女807例,按人工流产术是否与B超监测结合随机分为两个大组,每个大组分别按术后是否口服米非司酮,随机分成两个亚组,比较各组人流不全发生情况及术后阴道出血天数变化。结果在人流不全方面,B超监测结合口服米非司酮组人流不全发生率为0%,阴道出血(6.7±2.8)d,均显著低于其他3组,差异均具有统计学意义(P﹤0.05)。4组月经恢复时间差异经比较均无统计学意义(P﹥0.05)。结论 B超实时监测人工流产术,同时术后服用米非司酮可有效预防人流不全的发生,人流术后服用米非司酮可减少术后阴道出血天数。OBJECTIVE To probe the effects of B ultrasound monitor and oral mifepristone administration in reducing the prevalence of incomplete abortion after induced abortion,and to seek an effective method to prevent incomplete abortion after artificial abortion.METHODS 807 women who asked for surgical terminate early pregnancy were randomly divided into two groups according to whether B ultrasound monitor was used,two sub-groups were divided according to whether oral mifepristone administration was used after operation.The incidence of incomplete abortion and the vaginal bleeding time of each group were investigated.RESULTS Patients with incomplete abortion in B ultrasonic monitoring combining with oral mifepristone group was 0%,with vaginal bleeding 6.7 ± 2.8 d,which were significantly lower than the other three groups.The difference was significant（P﹤0.05）.The difference in menstrual recovery time in four groups was not significant（P﹥0.05）.CONCLUSION Incomplete abortion after artificial abortion can be effectively prevented by real-time B ultrasound monitor during operation and oral mifepristone administration.Oral mifepristone can decrease the vaginal bleeding time after induced abortion.

关 键 词：B超监测 人工流产术 不全流产 米非司酮 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]