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目的 研究为高危人工流产术后应用雌、孕激素的临床效果,探讨其在预防宫腔粘连方面的应用价值。方法 选取2012年12月至2013年12月我院高危人工流产术后患者200例,按随机数字表法分组,实验组患者术后应用戊酸雌二醇、安宫黄体酮,对照组患者术后应用妈富隆,比较两组首次月经恢复时间、周期性腹痛发生率、月经减少发生率、闭经发生率以及宫腔粘连发生率。结果 实验组月经恢复时间、周期性腹痛发生率、月经减少发生率、闭经发生率以及宫腔粘连发生率分别为(25.65±2.87)d、0%、0%、1%、1%,以上指标均低于对照组,两组差异具有统计意义(P<0.05)。结论 与对照组相比,实验组高危人工流产术后患者的恢复效果更佳,雌、孕激素在预防宫腔粘连方面具有较佳的效果,值得进一步应用。
Objective To study the clinical effect of applying estrogen and progestin after high-risk abortion, and to explore its value in preventing intrauterine adhesions. Methods From December 2012 to December 2013, 200 patients with high risk of induced abortion in our hospital were divided into two groups according to the random number table. The patients in the experimental group were treated with estradiol valerate, progesterone acetate and control group After application of Marvelon, the first menstrual recovery time, the incidence of recurrent abdominal pain, the incidence of menstruation, the incidence of amenorrhea and the incidence of intrauterine adhesions were compared between the two groups. Results The menstrual recovery time, the incidence of recurrent abdominal pain, the incidence of menstruation, the incidence of amenorrhea and the incidence of intrauterine adhesions in the experimental group were (25.65 ± 2.87) days, 0%, 0%, 1% and 1%, respectively Both lower than the control group, the difference between the two groups was statistically significant (P <0.05). Conclusion Compared with the control group, the experimental group of high-risk abortion postoperative recovery of patients with better results, estrogen and progesterone in the prevention of intrauterine adhesions has better results, it is worth further application.