米非司酮利凡诺及宫颈扩张棒终止18～26周妊娠临床观察  

Clinical Observation on the Effects of Mifepristone,Ethacridine and Cervical Dilatation Bar to Terminate the 18～26weeks Pregnancy

作　　者：胡浩梅[1] 

机构地区：[1]天津市中心妇产科医院,300100

出　　处：《医学理论与实践》2013年第12期1563-1564,1574,共3页The Journal of Medical Theory and Practice

摘　　要：目的:研究米非司酮联合利凡诺并辅以宫颈扩张棒与不加用宫颈扩张棒在中期引产效果中的区别,从而寻找更好的引产方式,减轻患者痛苦。方法:将100例孕18～26周自愿要求终止妊娠的健康妇女随机分成两组,每组50例,观察组予米非司酮联合利凡诺及一次性宫颈扩张棒引产,对照组单纯予米非司酮联合利凡诺引产,观察两组宫缩发动时间、产程、产后2h出血量、清宫率及引产成功率、引产并发症及引产后随访等方面。结果:观察组宫缩发动时间,产程均小于对照组(P<0.05),产后2h出血量、产后清宫率、引产成功率及引产并发症和随访等方面两组均无显著性差异(P>0.05)。结论:米非司酮联合利凡诺并辅以一次性宫颈扩张棒终止孕18～26周妊娠效果好,安全性高,能缩短引产时间,减轻患者痛苦。Explore the difference of induction of labor in midpregnancy treated by mifepristone, ethacridine and one-time Cervical Dilatation bar and without one-time Cervical Dilatation bar, so that searching the better therapeutic method to reduce the patient＇s pain. Methods： one hundred 18~26weeks gravida of induction of labor in midpregnancy were randomly divided into two groups, each group has fifty patients, the observation group were treated by mifepristone,ethaeridine and one-time Cervical Dilatation bar, and the control group were only given mifepristone and ethacridine, observing two groups＇ contractions start time, stage of labor, the amount of bleeding after 2 hours of odinopoeia, clearance rate of uterus, induced labor success rate and follow-up visit. Results： The observation group＇s contractions start time, stage of labor are significantly lower than the control group （P〈0. 05）, and the two groups have no differences in the amount of bleeding after 2hours of odinopoeia, clearance rate of uterus, induced labor success rate and follow-up visit（P〉0. 05）. Conclusion： It＇s a good way using mifepristone, Ethacridine and one-time Cervical Dilatation bar to terminate the 18~26weeks pregnancy. The way is safe, shorten induced labor time and relieve the patient pain.

关 键 词：米非司酮 利凡诺 一次性宫颈扩张棒 终止妊娠 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]