米非司酮辅助依沙吖啶羊膜腔内注射在二次疤痕子宫引产中的效果观察  

Application effect of mifepristone and ethacridine in the second induced abortion in scar uterus

作　　者：张志英 黄妍 

机构地区：[1]广东省五华县妇幼保健院,514400

出　　处：《临床合理用药杂志》2015年第11期34-35,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的观察米非司酮辅助依沙吖啶羊膜腔内注射在二次疤痕子宫引产的应用效果。方法选取2010年11月-2013年11月收治的二次疤痕子宫引产孕妇86例,随机分为观察组与对照组各43例。对照组孕妇采用依沙吖啶羊膜腔内注射引产,观察组在对照组基础上采用米非司酮150mg顿服,观察2组孕妇的应用效果。结果2组引产成功率比较差异无统计学意义(P>0.05),但观察组孕妇的产后出血量、引产并发症、产程各项指标均优于对照组,差异有统计学意义(P<0.05)。结论米非司酮辅助依沙吖啶羊膜腔内注射用于二次疤痕子宫引产,安全有效,并发症少,值得临床推广。Objective To investigate the application effect of mifepristone and ethacridine in the second induced a -bortion in scar uterus .Methods From November 2010 to November 2013 ,86 cases of pregnant women underwent secondary scar uterus induced labor were selected and divided into observation group and control group ,43 cases in each group .The preg-nant women in the control group were induced labor with rivanol intra amniotic injection .Based on the control group ,the obser-vation group was givenmifepristone 150 mg （ taken at a draught ） .The application effect of 2 groups were observed .Results There was no singificant difference between 2 groups in the successful rate of induced labor （P〉0.05）.The amount of post-partum hemorrhage , complications ,birth process of the observation group were better than those of the control group ,the differ-ences were statistically significant （P〈0.05）.Conclusion The combination of mifepristone and ethacridine is safe、effective and less complications in the second induced abortion in scar uterus ,which is worthy of clinical promotion .

关 键 词：米非司酮 依沙吖啶 疤痕子宫 引产 

分 类 号：R719.3[医药卫生—妇产科学]