药物流产与无痛人工流产术终止早期妊娠的效果比较  

Effect comparison of medical abortion and painless abortion in termination of early pregnancy

作　　者：丁江玲 DING Jiang-ling(Department of Gynecology and obstetrics,the Second People′s Hospital of Jingdezhen,Jiangxi Province,Jingdezhen333000,China)

机构地区：[1]江西省景德镇市第二人民医院妇产科,江西景德镇333000

出　　处：《中国当代医药》2020年第6期110-112,共3页China Modern Medicine

摘　　要：目的探讨药物流产与无痛人工流产术终止早期妊娠的临床效果。方法选取我院2018年5月~2019年7月收治的60例要求终止早期妊娠的患者,按照随机数字表法以1∶1比例分为药物组与手术组各30例。药物组使用米非司酮、米索前列醇终止早期妊娠,手术组用丙泊酚静脉麻醉后进行无痛人工流产术,比较两组术后流产效果、阴道出血量及出血时间、月经恢复时间,并监测术后的不良反应。结果术后,手术组患者的完全流产率为93.33%,高于药物组的70.00%,差异有统计学意义(P<0.05);手术组患者的阴道出血量少于药物组,差异有统计学意义(P<0.05),且出血及月经恢复时间均短于药物组,差异有统计学意义(P<0.05);手术组无痛感比率高于对照组,且手术组患者的疼痛程度轻于药物组,差异有统计学意义(P<0.05);手术组的不良反应总发生率为6.67%,低于药物组的26.67%,差异有统计学意义(P<0.05)。结论采用无痛人工流产术终止早期妊娠,能够显著提高完全流产率,安全性高,缩短出血及月经恢复时间,减轻疼痛感,降低不良反应,具有较好的应用价值。Objective To explore the clinical effect of medical abortion and painless abortion in termination of early pregnancy.Methods Sixty patients who were required to terminate early pregnancy in our hospital from May 2018 to July 2019 were selected and divided into drug group and operation group according to random number method,with 30 cases in each group.Drug group used Mifepristone and Misoprostolto terminate early pregnancy,and operation group adopted painless abortion after intravenous anesthesia of propofol.The postoperative abortion effects,vaginal bleeding volume,bleeding time and menstrual recovery time were compared between the two groups,and postoperative adverse reactions were monitored.Results After operation,the abortion rate of patients in operation group was 93.33%,higher than that in drug group(70.00%),and the difference was statistically significant(P<0.05).The vaginal bleeding volume of patients in operation group was lower than that in drug group,the difference was statistically significant(P<0.05),and the bleeding time and menstrual recovery time were shorter than those in drug group,the differences were statistically significant(P<0.05).The painlessness ratiosin in operation group was higher than that in drug group,and the pain degree of patients in operation group was lower than that in drug group,and the differences were statistically significant(P<0.05).The rates of total adverse reactions in operation group was lower than that in drug group(6.67%vs 26.67%),and the differences were statistically significant(P<0.05).Conclusion The use of painless abortion to terminate early pregnancy can significantly improve complete abortion rate,with high safety,shorten bleeding time and menstrual recovery time,and reduce pain and reduce adverse reactions,with good application value.

关 键 词：终止妊娠 药物流产 无痛流产 临床效果 

分 类 号：R169[医药卫生—公共卫生与预防医学]