目的通过分析对比早孕终止妊娠的不同方法,探讨其方法选择,为临床咨询提供详实的方案。方法收集本院2008年自愿选用药物流产1 013例,自愿选用无痛人流2 424例,对比流产时出血量、术后流血及腹痛天数,并对两组用药方案进行研讨。结果药物流产组流产时出血量、流产后阴道流血天数及24h内的腹痛程度均大于无痛人流组,差异有显著性(P<0.05)。结论尽管无痛人流的预后明显优于药物流产,但实施难度大,且风险也大,并基于约40%的人群选用药物流产,提示不同方法有不同的适应症。医生应按循证医学原则,充分提供咨询并与早孕妇共同确定流产方式,尽可能减少流产者的心身伤害和经济负担。 Objective To analyze and compare different methods of termination of pregnancy in early pregnancy to explore its method selection and provide detailed plans for clinical consultation. Methods A total of 1 013 voluntary medical abortions were collected in our hospital in 2008. A total of 2 424 cases of painless abortion were selected voluntarily. The amount of bleeding after abortion, blood loss and abdominal pain days were compared between the two groups. Results In the medical abortion group, the amount of bleeding during abortion, vaginal bleeding days after abortion and the degree of abdominal pain within 24 hours were higher than those in painless abortion group (P <0.05). Conclusions Although the painless prognosis is significantly better than medical abortion, implementation is difficult and risky, and drug abortion is based on about 40% of the population suggesting that different approaches have different indications. Doctors should follow the principles of evidence-based medicine to provide adequate counseling and to identify abortions with early pregnant women so as to minimize the psychosocial harm and financial burden of abortion.