戊酸雌二醇联合醋酸甲羟孕酮治疗流产不全的临床疗效分析  

Analysis of the Clinical Efficacy of Estradiol Valerate Combined with Medroxyprogesterone Acetate in the Treatment of Incomplete Abortion

作　　者：黄琼[1] 

机构地区：[1]贵州省贵阳市妇幼保健院,贵州贵阳550000

出　　处：《中外医疗》2014年第25期56-57,共2页China & Foreign Medical Treatment

摘　　要：目的探讨分析戊酸雌二醇+醋酸甲羟孕酮治疗流产不全的临床效果及不良反应。方法选取该院确诊治疗的200例流产不全患者,以随机方式将其分为两组。观察组使用戊酸雌二醇联合醋酸甲羟孕酮进行治疗,对照组则使用催产素进行治疗,比较分析两组患者治疗效果。结果观察组共治愈88例患者,治愈率为88.0%,对照组共治愈48例患者,治愈率为48.0%,二者差异明显;观察组患者阴道出血持续时间为(7.22±3.11)d明显少于对照组(12.33±3.79)d;两组患者不良反应差异无统计学意义。结论戊酸雌二醇联合醋酸甲羟孕酮对流产不全具有显著疗效,可明显缩短引导持续出血时间,且安全可靠,不良反应较轻,值得广泛使用。Objective To investigate and analyze the clinical effect and untoward effects of estradiol valerate and medroxyproges- terone acetate in the treatment of incomplete abortion. Methods 200 patients with incomplete abortion diagnosed and treated in our hospital were selected and divided into two groups randomly. Estradiol valerate combined with medroxyprogesterone acetate was given to the observation group, and oxytocin was given to the control group for treatment. And the treatment effect of patients in the two groups was compared and analyzed. Results 88 patients are cured in the observation group, and the cure rate is 88.0%; 48 patients are cured in the control group, and the cure rate is 48.0%. The difference between the two groups is obvious. The du- ration of colporrhagia of patients in the observation group is （7.22＋3.11） d, which is significantly less than that of the control group＇s （12.33~3.79） d; and the difference in untoward effects between the two groups of patients has no significance. Conclusion The combination of estradiol valerate and medroxyprogesterone acetate has a significant treatment effect on incomplete abortion, by which the continuous bleeding time can be shortened obviously; the method is safe and reliable; the untoward effect is lighter, so it is worthy of being used widely.

关 键 词：流产不全 戊酸雌二醇 醋酸甲羟孕酮 疗效 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]