首页|卡前列甲酯栓联合米非司酮终止中期妊娠与利凡诺引产的疗效比较

卡前列甲酯栓联合米非司酮终止中期妊娠与利凡诺引产的疗效比较

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目的:研究卡前列甲酯栓联合米非司酮终止中期妊娠与利凡诺引产的疗效比较。方法:选择113例孕周在14~27周之间要求终止妊娠的孕妇,按照随机对照的原则将其分为观察组55例,对照组58例。观察组于早晚各服用米非司酮片50 mg,服药前后2小时空腹,连服3 d(月份较小者可酌情减药),3 d后根据宫颈软化程度及宫缩情况,每隔3-6 h阴道后穹隆放置卡前列甲酯栓1 mg,并卧床30分钟,最大剂量不超过4 mg。对照组予以羊膜腔内注入稀释后的乳酸依沙吖啶100 mg终止妊娠。观察比较两组的临床疗效。结果:完全流产率比较,观察组为81.81%,对照组为63.79%,P<0.05,差异有统计学意义;流产时间比较,观察组为5.82±2.65 h,对照组为58.24±3.48 h,P<0.05,差异有统计学意义;阴道出血量比较,观察组为89.43±6.28ml,对照组为168.56±23.32 ml,P<0.05,差异有统计学意义。结论:卡孕栓与米非司酮联合用于中期妊娠引产,解决了中期妊娠孕周小,羊水少,穿刺困难、宫颈条件不成熟等问题,避免了宫腔操作和宫内感染的可能,安全无创,经济便利,可操作性强,值得临床推广应用。
To evaluate the efficacy Carboprost Methylate Suppositorites combined with mifepristone and rivanol on ending Mid-pregnancy
To study the effect of carboprost methylate suppositories combined with mifepristone on ending Mid-pregnancy. Methods:113cases pregnant women who had Mid-pregnancy in hospital from 2012 October to 2013 October were slected and required to ending pregnancy. The 113 patients were randomly divided into observation group and control group. There are 55cases in the observation group and 58cases in the control group. The observation group were given mifepristone 50 mg, one time at morning and night, Medication before and after 2 hours of fasting,even for 3 days,3 days later, according to the degree of cervical softening and uterine contraction, Every 3-6 h posterior vaginal fornix placed Carboprost methylate suppositorites 1 mg, and stay in bed for 30 minutes, The maximum dose does not exceed 4mg. The control group was given amniotic cavity injection of Ethacridine lactate 100 mg to ending pregnancy. To compared the clinical efficacy of two groups.Results:To compare the complete abortion rate of observation group and control group, the observation group was 81.81%, the control group was 63.79%, P<0.05,there was significant difference between two groups; To compare the arbortive time of observation group and control group ,the observation group was 5.82±2.65 h , the control group was 58.24±3.48 h, P<0.05,there was significant difference between two groups; To compare the vaginal bleeding volume of observation group and control group, the observation group was 89.43±6.28 ml, the control group was 168.56±23.32 ml, P<0.05,there was significant difference between two groups . Conclution:Carboprost methylate suppositories combined with mifepristone on ending Mid-pregnancy, to solve the problem of short gestational weeks, less amniotic fluid, puncture difficulties, and cervical conditions are not ripe, To avoid the possibility of uterine cavity operation and intrauterine infection, safe and noninvasive, economic and convenience, easy to operate. It is worthy of clinical promotion.

Carboprost methylate suppositoriesMifepristoneRivanolEnding pregnancy

盛喜霞、王兆杰、杨利娟、郑燕

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兵器工业卫生研究所 陕西 西安 710065

卡前列甲酯栓 米非司酮 利凡诺 终止妊娠

2014

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2014.(7)
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