米非司酮配伍米索前列醇与利凡诺终止中期妊娠临床效果的对比分析  

Comparative Analysis of Mifepristone Combined with Misoprostol and Rivanol in Termination of Mid-term Pregnancy

作　　者：白蒙 周玲 张兰梅 BAI Meng;ZHOU Ling;ZHANG Lanmei(Special Medical Center of Strategic Support Force,Beijing 100101,China)

机构地区：[1]战略支援部队特色医学中心,北京100101

出　　处：《大医生》2020年第5期101-103,共3页Doctor

摘　　要：目的探讨米非司酮配伍米索前列醇与利凡诺终止中期妊娠的临床效果及应用价值。方法选取战略支援部队特色医学中心妇产科2018年1月至2019年3月收治的中期妊娠孕妇60例,按照随机数字表法分为观察组与对照组,每组30例。观察组孕妇采用米非司酮配伍利凡诺,对照组孕妇采用米非司酮配伍米索前列醇。比较两组孕妇的引产结局、围引产指标以及阴道出血量。结果观察组孕妇的完全引产率93.33%,高于对照组73.33%;观察组孕妇的各项围引产指标优于对照组;观察组孕妇引产中出血量、引产后2 h出血量均少于对照组,差异均有统计学意义(P<0.05)。结论终止中期妊娠时采用米非司酮配伍利凡诺的临床效果优于配伍米索前列醇。Objective To explore the different effects and application value of mifepristone combined with misoprostol and rivanol in termination of mid-term pregnancy.Methods A total of 60 cases of pregnant women with second trimester pregnancy who were treated in obstetrics and Gynecology Department of characteristic medical center of strategic support forces from January 2018 to March 2019 were selected and randomLy divided into observation group and control group,with 30 cases in each group.The observation group was treated with mifepristone combined with rivanol,while the control group was treated with mifepristone and misoprostol.The results of induced labor,the index of induced labor and the amount of vaginal bleeding were compared between the two groups.Results The complete induction rate of the observation group was 93.33%higher than that of the control group 73.33%,(P<0.05);The amount of bleeding in induced labor and 2 hours postpartum in the observation group were less than that in the control group(P<0.05).Conclusion Mifepristone combined with rivanol is more effective than misoprostol in the termination of mid-term pregnancy.

关 键 词：中期妊娠 终止妊娠 米非司酮 米索前列醇 利凡诺 

分 类 号：R71[医药卫生—妇产科学]