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目的分析米索前列醇与补佳乐合用治疗稽留流产的临床疗效。方法选择扬州市妇幼保健院2013年2月至2016年1月收治的稽留流产患者90例作为研究对象,通过随机数字表法将其分为观察组和对照组各45例。观察组采用米索前列醇与补佳乐合用行清宫术,对照组采用米索前列醇与米非司酮合用行清宫术。记录两组患者的手术时间及术中出血量、总出血量、人工流产综合征发生率、再次清宫率、不良反应发生率,比较两种治疗方法的临床疗效。结果观察组治疗总有效率明显高于对照组(P<0.05);观察组手术时间、术中出血量及总出血量明显少于对照组(P<0.05);观察组人工流产综合征发生率及再次清宫率明显低于对照组(P<0.05);两组不良反应发生率比较差异无统计学意义(P>0.05)。结论采用米索前列醇与补佳乐合用行清宫术治疗稽留流产患者的临床疗效显著,出血量少,具有较高的胚囊排出率,有效减少了二次清宫情况的发生,安全性高,患者恢复快,值得推广使用。
Objective To analyze the clinical efficacy of misoprostol and norepinephrine in the treatment of missed abortion. Methods Ninety cases of missed abortion admitted from February 2013 to January 2016 in Yangzhou Maternal and Child Health Care Hospital were selected as research objects and divided into observation group and control group by random number table method. The observation group was treated with misoprostol and norepinephrine, and the control group was treated with misoprostol combined with mifepristone. The operation time, intraoperative blood loss, total blood loss, the incidence of induced abortion syndrome, the rate of recidivism and the incidence of adverse reactions were recorded. The clinical efficacy of the two treatment methods was compared. Results The total effective rate of the observation group was significantly higher than that of the control group (P <0.05). The operation time, intraoperative blood loss and total bleeding in the observation group were significantly less than those in the control group (P <0.05). The incidence of induced abortion syndrome And again the curettage rate was significantly lower than the control group (P <0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P> 0.05). Conclusion The combination of misoprostol and norepinephrine for treatment of missed abortion patients with significant clinical efficacy, less bleeding, higher rates of embryo sac delivery, effectively reducing the occurrence of secondary clearance, high safety, Patients recover quickly, it is worth to promote use.