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目的:探讨米非司酮配伍米索前列醇在早期人工流产术中的应用。方法:将2011年5月~2013年5月我院收治的妊娠者272例(均要求终止妊娠),随机分为对照组(n=136)和观察组(n=136),对照组于术前给予米索前列醇,观察组在对照组的基础上于术前3天给予米非司酮,比较两组的临床疗效。结果:观察组患者手术时间、出血量、术后出血时间均小于对照组(P<0.05),差异有统计学意义(P<0.05);观察组宫颈软化总有效率显著高于对照组(94.85%vs 87.50%),差异有统计学意义(P<0.05);观察组阴道流血、腹痛、提前手术和恶心的发生率均小于对照组,差异有统计学意义(P<0.05)。结论:米非司酮配伍米索前列醇可帮助软化宫颈,缩短手术时间和减少出血量,并减少单独应用米索前列醇引起的不良反应。
Objective: To investigate the application of mifepristone and misoprostol in early induced abortion. Methods: A total of 272 pregnant women admitted to our hospital from May 2011 to May 2013 were enrolled in the study. All patients were enrolled in the control group (n = 136) and observation group (n = 136) Before the administration of misoprostol, the observation group was given mifepristone on the basis of the control group three days before the operation, and the clinical efficacy of the two groups was compared. Results: The operation time, bleeding volume and postoperative bleeding time in the observation group were all less than those in the control group (P <0.05), and the difference was statistically significant (P <0.05). The total effective rate of cervical softening in the observation group was significantly higher than that in the control group (94.85 % vs 87.50%), the difference was statistically significant (P <0.05). The incidences of vaginal bleeding, abdominal pain, advanced surgery and nausea in the observation group were all less than those in the control group (P <0.05). Conclusion: Mifepristone combined with misoprostol can help soften the cervix, shorten the operation time and reduce the amount of bleeding, and reduce the adverse reactions caused by misoprostol alone.