药物流产联合清宫术治疗稽留流产55例临床体会
史喜梅，张晓霞
（陕西省延长县计划生育服务站，陕西 延安，717100）
浏览次数：130次 下载次数：418次
摘要：
目的 在稽留流产患者的治疗过程中，应用药物流产联合清宫术，评价其联合治疗的效果。方法 随机抽取我站稽留流产患者55例，随机分为对照组（27例）和试验组（28例）。对照组患者采用药物流产，试验组在对照组基础上联合清宫术，比 较两组患者的治疗效果。结果 试验组患者完全流产率（96.4%）显著高于对照组（70.4%），差异有统计学意义（P<0.05）；试验组患者的排胎时间、术中出血量、复诊情况及住院时间均优于对照组，差异均有统计学意义（P<0.05）。结论 对于稽留流产患 者，选用药物流产联合清宫术的效果显著，患者术中出血少，术后恢复快，值得临床推广。
关键词：稽留流产；药物流产；清宫术
中图分类号：R714.21文献标志码：A文章编号：2096-1413(2017)06-0100-02
Treatment experience of drug abortion combined with curettage in the
treatment of 55 patients with missed abortion
SHI Xi-mei, ZHANG Xiao-xia
（Family Planning Service Station in Shaanxi Province, Yanan 717100, China）
ABSTRACT: Objective In the treatment of patients with missed abortion, to apply drug abortion combined with curettage and evaluate the effect. Methods Fifty-five patients with missed abortion in our station were selected and randomly divided into control group (n=27) and experimental group (n=28). The control group was treated with medical abortion, and the experimental group was added curettage on the basis of the control group. The therapeutic effects of the two groups were compared. Results The probability of complete abortion in the experimental group (96.4%) was significantly higher than that in the control group (70.4%), the difference was statistically significant (P<0.05). The time of discharge, intraoperative blood loss, further consultation and hospital stay in the experimental group were all better than those of the control group, the differences were statistically significant (P <0.05). Conclusion For patients with missed abortion, drug abortion combined with curettage has good effect, with less intraoperative blood loss, faster postoperative recovery, which is worthy for clinical application.
KEYWORDS：missed abortion; drug abortion; curettage
参考文献：
[1] 张心红,丁子奇,张艳婷.药物流产配合清宫术治疗稽留流产358例临床观察[J].临床医学,2012,32(9):24-25.
[2] ZHANG Y,YAN T,LU C,et al.Early detection of lesions of dorsal artery of foot in patients with type 2 diabetes mellitus by high-frequency ultrasonography[J].J Huazhong Univ Sci Technolog Med Sci,2009,29 (3):387-390.
[3] 李文荣,吴绍凤,张美菊.米非司酮、米索前列醇联合清宫术三联治疗稽留流产的临床应用[J].中国医药指南,2013,11(17):670-671.
[4] 刘梦云,董茜.药物流产配合刮宫术在稽留流产中的应用[J].现代中西医结合杂志,2011,20(14):1748-1749.
[5] 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.
[6] TABIT CE,CHUNG WB,HAMBURG NM,et al.Endothelial dysfunction in diabetes mellitus: molecular mechanisms and clinical implications[J].Rev Endocr Metab Disord,2010,11(1):61-74.
[7] 谢杏美,王玉霞.米非司酮配伍米索前列醇治疗稽留流产和终止10~16周妊娠的效果比较[J].实用妇产科杂志,2012,28(8):693-695.
[8] 李惠,李永红.稽留流产行米非司酮联合米索前列醇治疗的临床疗效分析[J].中国医学创新,2016,13(5):73-76.
[9] 施国凤,刘红娥,伍椅铭.药物流产加清宫术治疗稽留流产的临床观察[J].实中国现代药物应用,2014,8(10):134-135.