论文部分内容阅读
目的:探讨米非司酮配伍米索前列醇终止孕10~13周妊娠和羊膜腔外插管注入乳酸依沙吖啶协同米索前列醇终止妊娠的临床效果。方法:选择2015年1月至2016年12月东莞市茶山医院收治的孕10~13周且自愿终止妊娠的孕妇124例作为研究对象,对照组62例药物流产,观察组62例孕妇给予羊膜腔外插管后注射乳酸依沙吖啶液50 mg,24 h后拔管,接着米索前列醇0.6μg置阴道后穹窿方法终止妊娠,比较两组孕妇的终止效果。结果:观察组总有效率93.55%,对照组孕妇总有效率80.65%,两组比较,差异具有统计学意义(P<0.05);观察组的流产时间与出血量均明显少于对照组,两组比较,差异具有统计学意义(P<0.05)。结论:采用羊膜腔外插管注入乳酸依沙吖啶协同米索前列醇终止妊娠的效果肯定,流产时间短,出血量减少,特别对有米非司酮存在禁忌证的孕妇终止妊娠可选用该方式。
Objective: To investigate the clinical efficacy of mifepristone combined with misoprostol for termination of pregnancy and amniotic fluid injection of enamel lactate in combination with misoprostol for 10 ~ 13 weeks gestation and amniotic catheterization. Methods: From January 2015 to December 2016, Dongguan Dasan Hospital admitted pregnant women 10-13 weeks of pregnancy and voluntary termination of pregnancy in 124 cases as the study object, the control group of 62 cases of medical abortion, the observation group of 62 pregnant women given amniotic cavity After intubation injection of lactic acid Ethacridine solution 50 mg, extubation after 24 h, followed by misoprostol 0.6 ug set vaginal fornix termination of pregnancy, the termination effect of the two groups of pregnant women were compared. Results: The total effective rate was 93.55% in observation group and 80.65% in pregnant women in control group, the difference was statistically significant (P <0.05). The abortion time and bleeding volume in observation group were significantly less than those in control group Group, the difference was statistically significant (P <0.05). Conclusion: The effect of injecting amoxicillin lactate and misoprostol for terminating pregnancy is confirmed by amniotic tube extracapsular injection. The abortion time is short and the amount of bleeding is reduced. Especially for pregnant women who have contraindication of mifepristone, the termination of pregnancy can be used the way.