论文部分内容阅读
目的:探究影响米非司酮联合米索进行人工计划流产效果的相关因素。方法:选择2012年3月~2014年8月在我院自愿实施药物流产的600名7周内早孕孕妇,将药流成功的分为对照组(487例),药流失败的分为观察组(113例)。对比统计对照组和观察组的一般资料(身高、体重等)、年龄、停经时间、孕囊大小、胚芽、孕次、分娩史、流产史、剖宫史、子宫位置和合并慢性盆腔炎症,行t检验、卡方检验,探究影响药流效果的相关因素。结果:对照组和观察组的患者身高、体重、年龄统计差距无意义(p>0.05);而停经时间、孕囊大小、胚芽、子宫位置、合并慢性盆腔炎和流产史对米非司酮联合米索进行人工计划流产效果有影响(p<0.05),且药流失败危险程度由大到小为有胚芽、孕囊>2.3cm、合并慢性盆腔炎、子宫位置平、后位、停经>40d。而年龄、孕次、分娩史和剖宫史不是米非司酮联合米索进行人工计划流产失败的危险因素。结论:米非司酮联合米索进行人工计划流产效果是受多因素影响的,流产前要做好检查及选择合适的流产方法,避免药流失败和降低药流对孕妇的伤害。
Objective: To explore the factors that affect the efficacy of mifepristone combined with misoprostol in artificial planned abortion. Methods: A total of 600 pregnant women with 7-week early pregnancy who voluntarily performed medical abortion from March 2012 to August 2014 in our hospital were divided into control group (487 cases), medical failure group (113 cases) example). The control group and the observation group were compared with the general information (height, weight, etc.), age, menopause time, gestational sac size, germ, gestational age, delivery history, abortion history, cesarean section, uterine position and combined with chronic pelvic inflammatory disease t test, Chi-square test to explore the impact of drug abortion related factors. Results: There was no significant difference between the control group and the observation group in the statistic difference of height, weight and age (p> 0.05); while the relationship between mifepristone and menopause time, gestational sac size, germ, uterine position, chronic pelvic inflammatory disease and abortion Misoprostol (p <0.05), and the risk of failed medical abortion was germ, the gestational sac> 2.3cm, with chronic pelvic inflammatory disease, uterine position flat, posterior position, menopause> 40d. The age, gestational age, delivery history and cesarean section history is not mifepristone combined with misoprostol artificial planning abortion risk factors. Conclusion: Mifepristone combined with misoprostol for artificial planned abortion is affected by many factors. Before abortion, it is necessary to do a good job in screening and choosing the appropriate abortion method to avoid the failure of medical abortion and reduce the harm of abortion to pregnant women.