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Clinical effect of anti-early pregnancy drugs combined with uterine curettage on missed abortion |
SUN Li |
Department of Reproductive,Maternal and Child Health Care Hospital of Jiangxi Province,Nanchang 330006,China |
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Abstract Objective To investigate the clinical efficacy of oral anti-early pregnancy drugs combined with Qinggong in the treatment of missed abortion.Methods A total of 86 patients with missed abortion admitted to our hospital from January 2017 to September 2018 were selected as the subjects.The patients were randomly divided into the observation group (n=43)and the control group (n=43).Patients in the observation group were treated with oral Mifepristone and Misoprostol,and then combined with uterine curettage.Patients in the control group were treated with oral Estradiol Valerate and then treated with uterine curettage.The intraoperative cervical softening and dilatation effects,the time spent on surgery,the amount of bleeding,the incidence of induced abortion syndrome,the natural excretion rate of the embryo after administration,and the success rate of one-time cure were observed and compared between the two groups respectively.Results The total effective rate of cervical softening and dilatation in the observation group was higher than that in the control group,the operation time of the observation group was shorter than that of the control group,and the amount of bleeding of the observation group was less than that of the control group,the incidence of induced abortion syndrome of the observation group was lower than that of the control group,and the natural excretion rate of the embryo and the one-time success rate of uterine curettage in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Oral anti-early pregnancy drug such as Misoprostol and Misoprostol combined with uterine curettage is more effective in the treatment of missed abortion.Oral anti-pregnancy drugs can reduce the difficulty of uterine surgery.the success rate of one-time cure under this treatment method is high,which can reduce the time spent on surgery,reduce the amount of bleeding,and reduce the incidence of induced abortion syndrome.This treatment method is worthy of popularization and application in the clinic.
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[1] |
史喜梅,张晓霞.药物流产联合清宫术治疗稽留流产55例临床体会[J].临床医学研究与实践,2017,2(6):100-101.
|
[2] |
Chia KV,Ogbo VI.Medical termination of missed abortion[J].J Obstet Gynaecol,2002,22(2):184-186.
|
[3] |
乐杰.妇产科学[M].6版.北京:人民卫生出版社,2005.
|
[4] |
Wang G,Li D,Manconi F,et al.Timing and indication for curettage after medical abortion in early pregnant women with prior uterine incision[J].Contraception,2010,81(1):62-66.
|
[5] |
冯守凡.米非司酮与米索前列醇联合清宫术治疗稽留流产患者的临床疗效[J].中国药物经济学,2017,12(2):90-92.
|
[6] |
Salzani A,Yela DA,Gabiatti JR,et al.Prevalence of uterine synechia after abortion evacuation curettage[J].Sao Paulo Med J,2007,125(5):261-264.
|
[7] |
Ngoc NT,Blum J,Westheimer E,et al.Medical treatment of missed abortion using misoprostol[J].Int J Gynecol Obstet,2004,87(2):138-142.
|
[8] |
王芳芳,刘德佩.中西医结合预防稽留流产清宫术后宫腔粘连 60 例临床研究[J].江苏中医药,2015,47(10):33-34.
|
[9] |
陈镘如,梅立.宫腔镜手术与传统清宫术治疗稽留流产疗效对比分析[J].现代医药卫生,2015,31(23):3599-3601.
|
[10] |
张绍峰.米非司酮联合米索前列醇治疗清宫术稽留流产40 例疗效及安全性分析[J].中国药业,2015,24(24):121-122.
|
[11] |
欧阳瑞霞,周丽蓉,杨丽.米非司酮配伍米索前列醇联合清宫术治疗稽留流产的疗效观察[J].中国医院用药评价与分析,2016,16(12):1642-1643.
|
[12] |
范小玲,刘姿.孕早期稽留流产的病因分析及清宫术后用药评价[J].湖南师范大学学报(医学版),2017,14(1):78-80.
|
[13] |
罗丽萍.B超监测下稽留流产清宫术后服用屈螺酮炔雌醇片对宫腔粘连的预防作用[J].当代医学,2016,22(8):133-134.
|
[14] |
程丽琴,吴巧珠,陈凤英,等.稽留流产清宫术后使用小剂量戊酸雌二醇促进子宫内膜修复及降低宫腔粘连的疗效观察[J].中国医药科学,2017,7(3):94-96.
|
[15] |
谭桉,张志娟.戊酸雌二醇片联合无痛清宫术治疗稽留流产的效果观察[J].中国当代医药,2016,23(20):99-101.
|
[16] |
陈亚平.对稽留流产患者联合使用米非司酮、米索前列醇和清宫术进行治疗的效果观察[J].当代医药论丛,2015,13(21):182-183.
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