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目的:观察炔雌醇环丙孕酮片在药物流产后应用的临床疗效。方法:收集行药物流产且胚囊完整排出的患者135例,按患者意愿分为两组,对照组58例,口服抗生素预防感染,观察组77例,除常规应用抗生素外,流产当天开始口服炔雌醇环丙孕酮片,1片/天,连服21天,分别于流产当天和转经干净1周内经阴道彩超检查,了解宫腔情况,并随访两组阴道出血量,出血持续时间,月经恢复时间等情况。结果:观察组阴道出血量大于月经量者低于对照组,分别为11例(14.28%)和12例(20.69%),但差异无统计学意义(P>0.05)。观察组阴道出血持续时间短于对照组,分别为(12.1±2.2)天和(18.5±4.2)天,月经恢复时间较对照组提前,分别为(29.3±3.8)天和(35.5±6.6)天,宫腔异常回声消失率高于对照组,分别为83.33%(35/42)和56.67%(17/30),差异均有统计学意义(P<0.05)。结论:炔雌醇环丙孕酮片能促进药物流产后宫腔蜕膜组织的排出,促进内膜的修复,缩短阴道出血时间和月经恢复时间,同时具有避孕作用,值得临床推广使用。
Objective: To observe the clinical effect of ethinyl estradiol cyproterone tablets after medical abortion. Methods: One hundred and thirty-five patients were randomly divided into two groups according to the wishes of the patients. Fifty-eight patients in the control group were given oral antibiotics to prevent infection. In the observation group, 77 patients were given oral alkyne Estradiol cyproterone tablets, 1 tablet / day, and even served 21 days, respectively, on the day of abortion and clean by transvaginal ultrasound within 1 week to understand the situation of the uterine cavity, and followed up two groups of vaginal bleeding, bleeding duration, Menstruation recovery time and so on. Results: The vaginal bleeding volume in the observation group was significantly lower than that in the control group, which were 11 cases (14.28%) and 12 cases (20.69%) respectively, but the difference was not statistically significant (P> 0.05). The duration of vaginal bleeding in the observation group was shorter than that in the control group (12.1 ± 2.2 days and 18.5 ± 4.2 days, respectively), and the period of menstruation recovery was earlier than that of the control group (29.3 ± 3.8 days and 35.5 ± 6.6 days, respectively) , And the rate of abnormal uterine echo disappearance was 83.33% (35/42) and 56.67% (17/30), respectively, with significant difference (P <0.05). CONCLUSION: Ethinylestradiol and cyproterone tablets can promote the discharge of uterine cavity decidua after medical abortion, promote the repair of endometrium, shorten the time of vaginal bleeding and the recovery time of menstruation, meanwhile, it has the effect of contraception and is worthy of clinical promotion.