首页|不同剂量米非司酮配伍米索前列醇、戊酸雌二醇治疗稽留流产的疗效对比分析

不同剂量米非司酮配伍米索前列醇、戊酸雌二醇治疗稽留流产的疗效对比分析

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目的 分析不同剂量米非司酮配伍米索前列醇、戊酸雌二醇治疗稽留流产的临床疗效。方法 选取80例稽留流产患者,根据随机抽签法分为大剂量组(采用200 mg米非司酮±戊酸雌二醇+米索前列醇治疗)与小剂量组(采用150 mg米非司酮+戊酸雌二醇+米索前列醇治疗),每组40例。比较两组患者临床时间指标、完全流产率及药物不良反应发生情况。结果 两组患者不良反应发生率比较,差异无统计学意义(P>0。05)。大剂量组完全流产率97。50%高于小剂量组的80。00%,差异具有统计学意义(P<0。05)。大剂量组患者胚胎流出时间、月经复潮时间明显短于小剂量组,差异具有统计学意义(P<0。05)。结论 稽留流产患者采用大剂量米非司酮配伍戊酸雌二醇、米索前列醇治疗安全性与时效性均良好。
Comparative analysis of the efficacy of different doses of Mifepristone combined with misoprostol and estradiol valerate in the treatment of missed abortion
Objective To analyze the clinical effect of different doses of mifepristone combined with misoprostol and estradiol valerate in the treatment of missed abortion.Methods 80 missed abortion patients were selected and divided into high-dose group(treated with 200 mg mifepristone+estradiol valerate+misoprostol)and low-dose group(treated with 150 mg mifepristone+estradiol valerate+misoprostol)according to random drawing method,with 40 cases in each group.The clinical time index,total abortion rate and adverse drug reactions were compared between the two groups.Results There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).The total abortion rate in the high-dose group was 97.50%higher than that in the low-dose group(80.00%),and the difference was statistically significant(P<0.05).The embryo outflow time and menstrual rehydration time in the high-dose group were significantly shorter than those in the low-dose group,and the difference was statistically significant(P<0.05).Conclusion The combination of large-dose mifepristone with estradiol valerate and misoprostol in the treatment of missed abortion is safe and time-effective.

Missed abortionMifepristoneEstradiol valerateMisoprostol

丁文、胡迟秀、王彤辉

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山东省青岛市胶州中心医院 药剂科,山东青岛 266300

稽留流产 米非司酮 戊酸雌二醇 米索前列醇

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(2)
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